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Dr. Courtney N. Phillips
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Hospital Provider Information

 

Hospital Abuse/Neglect Form for Hospitals

Instructions for Completing the Abuse/Neglect Form 

Health Standards Fee Schedule

Health Standards Payment Procedure

Other Agency Approval Required for Licensure

Participation in Medicare & Medicaid

Documents Needed For Certification

Hospital Accrediting Organizations

Key Personnel Change Form

Change of Ownership Information

Criminal Background Check

Individual Complication Report for Post-Abortion Care

Induced Termination of Pregnancy (ITOP) Report

Hospital Licensing and Renewals:

Hospital License Renewal packet- click here

Hospital Packets (click here)-

In addition, you will need to contact the following agencies for required certificates/approvals:

Department of Environmentatl Quality (DEQ): click here

CLIA: click here

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Mailing Address: Louisiana Department of Health | P. O. Box 629 | Baton Rouge, LA 70821-0629
Physical Address: 628 N. 4th Street | Baton Rouge, LA 70802 | PHONE: 225-342-9500 | FAX: 225-342-5568
Medicaid Customer Service 1-888-342-6207 | Healthy Louisiana 1-855-229-6848
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