340B Drug Pricing Program Database


CAH041312-00 BAPTIST HEALTH MEDICAL CENTER HEBER SPRINGS (Active) - information as of 5/25/2025 1:17:16 AM

Main Details
BAPTIST HEALTH MEDICAL CENTER HEBER SPRINGS
Critical Access Hospital
No
CAH041312-00
041312


Additional Details
Active
9/22/2010
9/27/2010
9/22/2010
9/3/2024

Contacts

Baptist Health
Brent Beaulieu, CFO
(501) 202-2017

Baptist Health
Stefanie Jaeger, Sr. Reimbursement Specialist
(501) 202-1813

Addresses

1800 BYPASS ROAD
HEBER SPRINGS, AR 72543

Same as Street Address


  • Comments
  • Medicaid Billing
  • Shipping Addresses
  • Contract Pharmacies
  • Parent/Child
  • History
Comments
CommentLast Updated On 
No records to display.
Medicaid Billing

No
Shipping Addresses

Same as Street Address
Contract Pharmacies
Contract DetailPharmacy NameAddressAddress Cont.CityStateZip CodeApproval DateBegin DateCarve-In Effective DateTermination DateLast Updated On
Contract DetailALLCARE PHARMACY600 W MAIN ST
HEBER SPRINGSAR72543-292004/17/201407/01/2014 12/02/202001/29/2021
Contract DetailARKANSAS CVS PHARMACY, L.L.C.CVS PHARMACY # 17011 501 ELSINGER BLVD
CONWAYAR7203210/14/202101/01/2022 04/01/202301/26/2024
Contract DetailBAPTIST HEALTH MEDICAL TOWERS PHARMACY9601 BAPTIST HEALTH DR STE 109
LITTLE ROCKAR7220501/16/202504/01/2025  04/01/2025
Contract DetailBENNETT HEALTH SERVICES INCDBA FAIRFIELD BAY PHARMACY 367 DAVE CREEK PKWY
FAIRFIELD BAYAR7208804/02/201507/01/2015  07/13/2016
Contract DetailCORNERSTONE PHARMACY AT GREERS FERRY8470 EDGEMONT RD
GREERS FERRYAR7206710/14/202401/01/2025  01/01/2025
Contract DetailCVS CAREMARKDBA CVS/CAREMARK OR CF# 11506 1 GREAT VALLEY BOULEVARD
WILKES BARREPA1870610/14/202101/01/2022  01/01/2022
Contract DetailCVS CAREMARK ADVANCED TECHNOLOGY PHARMACDBA CVS/CAREMARK 48067 1780 WALL ST
MT PROSPECTIL6005610/14/202101/01/2022  01/01/2022
Contract DetailFRED'S PHARMACY308 S 7TH ST
HEBER SPRINGSAR72543-371901/17/201404/01/2014 09/11/201507/13/2016
Contract DetailFRED'S PHARMACY308 S 7TH ST
HEBER SPRINGSAR72543-371910/04/201601/01/2017 10/08/201910/28/2019
Contract DetailHARPS PHARMACY #163901 W MAIN ST
HEBER SPRINGSAR7254301/16/201504/01/2015 07/15/202107/15/2021
Contract DetailIVY FAMILY PHARMACY, INC.DBA FAMILY DISCO PHARMACY 120 S 4TH ST
HEBER SPRINGSAR72543-725401/17/202304/01/2023  04/01/2023
Contract DetailJOHNSON PHARMACY INC6124 HEBER SPRINGS RD W
QUITMANAR72131-016407/02/201410/01/2014 01/01/201808/31/2018
Contract DetailJOHNSON PHARMACY INC6124 HEBER SPRINGS RD W
QUITMANAR72131-016401/17/202304/01/2023  04/01/2023
Contract DetailLOUISIANA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 08921 2831 BELLE CHASE HWY.
TERRYTOWNLA7005610/14/202101/01/2022 04/01/202301/26/2024
Contract DetailR2H2 BUSINESS ENTERPRISESDBA REEDHUTCHINS PHARMACY 408 W. MAIN ST.
HEBER SPRINGSAR7254301/17/202304/01/2023  04/01/2023
Contract DetailSCPG ARKANSAS LLCDBA: EXPRESS RX OF HEBER SPRINGS 600 W MAIN ST
HEBER SPRINGSAR72543-292004/13/202107/01/2021  07/01/2021
Contract DetailWAL-MART CENTRAL FILL 10-2670608 SPRING HILL DR # 3 SUITE 300
SPRINGTX7738607/13/201710/01/2017  10/01/2017
Contract DetailWAL-MART PHARMACY 10-02811500 HIGHWAY 25B NORTH
HEBER SPRINGSAR7254311/29/201201/01/2013  07/13/2016
Contract DetailWAL-MART PHARMACY 10-07881966 HWY 65 SOUTH
CLINTONAR7203101/17/202304/01/2023  04/01/2023
Contract DetailWAL-MART PHARMACY 10-59979600 PARKSOUTH CT. SUITE 100
ORLANDOFL3283707/13/201710/01/2017  10/01/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 09766 200 E RACE AVE
SEARCYAR7214304/12/202307/01/2023  07/01/2023
Parent/Child
340B IDHierarchyEntity TypeNameSub NameAddressCityState340B Status
CAH041312-01ChildCAHBAPTIST HEALTH MEDICAL CENTER HEBER SPRINGSBaptist Health Therapy Clinic - Heber Springs1415 Highway 25BHeber SpringsARActive
CAH041312-02ChildCAHBAPTIST HEALTH MEDICAL CENTER HEBER SPRINGSBaptist Health Therapy Center - Fairfield Bay381 Dave Creek ParkwayFairfield BayARTerminated
CAH041312-03ChildCAHBAPTIST HEALTH MEDICAL CENTER HEBER SPRINGSBaptist Health Family Clinic - Greers Ferry8544 Edgemont RoadGreers FerryARActive
CAH041312-04ChildCAHBAPTIST HEALTH MEDICAL CENTER HEBER SPRINGSBaptist Health Family Clinic - Heber Springs1415 Hwy 25BHeber SpringsARActive
CAH041312-05ChildCAHBAPTIST HEALTH MEDICAL CENTER HEBER SPRINGSFairfield Bay RHC110 Village Place, Suite 2BFairfield BayARTerminated
CAH041312-06ChildCAHBAPTIST HEALTH MEDICAL CENTER HEBER SPRINGSBH Heber Springs - Campus Clinic1800 Bypass RoadHeber SpringsARActive
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DetailsLast Recertification DateUpdateRecertification9/14/2023 2:38:25 PM9/3/2024 2:18:20 PM9/3/2024 2:18 PM
DetailsLast Recertification DateUpdateRecertification9/14/2022 9:54:57 AM9/14/2023 2:38:25 PM9/14/2023 2:38 PM
DetailsLast Recertification DateUpdateRecertification9/9/2021 9:33:18 AM9/14/2022 9:54:57 AM9/14/2022 9:54 AM
DetailsLast Recertification DateUpdateRecertification9/14/2020 4:15:41 PM9/9/2021 9:33:18 AM9/9/2021 9:33 AM
DetailsLast Recertification DateUpdateRecertification9/16/2019 12:02:30 PM9/14/2020 4:15:41 PM9/14/2020 4:15 PM
DetailsLast Recertification DateUpdateRecertification9/3/2018 7:46:57 AM9/16/2019 12:02:30 PM9/16/2019 12:02 PM
Medicaid BillingMedicaid: NumberDeleteChange Request130609105 (AR) 8/1/2019 2:05 PM
Medicaid BillingNPI: NumberDeleteChange Request1609804822 ( ) 8/1/2019 2:05 PM
ContactsAuthorizing OfficialUpdateProfile Change RequestBeaulieu, Brent VP of Finance Baptist Health 5012022017Beaulieu, Brent CFO Baptist Health 50120220174/5/2019 3:34 PM
Medicaid BillingNPI: NumberInsertRecertification 16098048229/3/2018 7:46 AM
DetailsLast Recertification DateUpdateRecertification11/29/2017 6:44:44 PM9/3/2018 7:46:57 AM9/3/2018 7:46 AM
DetailsLast Recertification DateUpdateRecertification8/23/2016 12:00:00 AM11/29/2017 6:44:44 PM11/29/2017 6:44 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False9/27/2017 4:31 PM
Medicaid BillingMedicaid: NumberInsertChange Request 1306091059/27/2017 4:31 PM
Medicaid BillingMedicaid: StateInsertChange Request AR9/27/2017 4:31 PM
ContactsPrimary ContactInsertChange Request Jaeger, Stefanie Sr. Reimbursement Specialist Baptist Health 50120218139/26/2017 6:10 PM
ContactsAuthorizing OfficialUpdate Beaulieu, Brent VP of Finance 5012022017Beaulieu, Brent VP of Finance Baptist Health 50120220179/26/2017 5:56 PM
ContactsAuthorizing OfficialInsert  Beaulieu, Brent VP of Finance 50120220177/26/2017 12:26 PM
AddressesMain AddressInsert   1800 BYPASS ROAD HEBER SPRINGS, AR 725438/23/2016 5:38 PM
DetailsLast Recertification DateUpdate 8/11/2015 12:00:00 AM8/23/2016 12:00:00 AM8/23/2016 5:38 PM
DetailsLast Recertification DateUpdate 9/5/2014 12:00:00 AM8/11/2015 12:00:00 AM8/11/2015 5:38 PM
DetailsLast Recertification DateUpdate 8/21/2013 12:00:00 AM9/5/2014 12:00:00 AM9/5/2014 11:55 AM
DetailsLast Recertification DateUpdate 7/1/2012 12:00:00 AM8/21/2013 12:00:00 AM8/21/2013 11:00 AM
DetailsLast Recertification DateUpdate  7/1/2012 12:00:00 AM5/9/2012 8:48 AM
DetailsLast Recertification DateInsert   9/27/2010 12:41 PM
DetailsGrant NumberInsert   9/27/2010 12:41 PM
Details340B IDInsert  CAH041312-009/27/2010 12:41 PM
DetailsIs Authorizing Official EHB DataInsert   9/27/2010 12:41 PM
DatesLast Date That 340B Drugs PurchasedInsert   9/27/2010 12:41 PM
DetailsMedicare Provider NumberInsert  0413129/27/2010 12:41 PM
DetailsEntity NameInsert  BAPTIST HEALTH MEDICAL CENTER HEBER SPRINGS9/27/2010 12:41 PM
DetailsProgram CodeInsert  CAH9/27/2010 12:41 PM
DetailsEntity SubnameInsert   9/27/2010 12:41 PM
DatesParticipating Approval DateInsert  9/22/2010 12:00:00 AM9/27/2010 12:41 PM
DetailsStateInsert  Active9/27/2010 12:41 PM
DatesRegistration DateInsert  9/22/2010 12:00:00 AM9/27/2010 12:41 PM
DatesSigned By DateInsert  9/22/2010 12:00:00 AM9/27/2010 12:41 PM
DatesStart DateInsert  9/27/2010 12:00:00 AM9/27/2010 12:41 PM
TerminationsTermination CommentsInsert   9/27/2010 12:41 PM
TerminationsTermination DateInsert   9/27/2010 12:41 PM
TerminationsTermination Effective DateInsert   9/27/2010 12:41 PM
TerminationsTermination ReasonInsert   9/27/2010 12:41 PM