Covered Entity Details

DSH040017F NORTH ARKANSAS REGIONAL MEDICAL CENTER (Active) - information as of 5/5/2025 11:58:55 PM

Main Details

Name

NORTH ARKANSAS REGIONAL MEDICAL CENTER

Subdivision Name

NARMC MEDICINE GROUP - Medicine Group

Type

Disproportionate Share Hospital

Rural

Yes

340B ID

DSH040017F

Medicare Provider Number

040017

Outpatient Facility Provider Number

Additional Details

Current Program Status

Active

Registration Date

7/12/2023

Participating Start Date

10/1/2023

Participating Approval Date

8/1/2023

Last Recertification Date

9/5/2024

Contacts

Authorizing Official

NARMC
Josh Bright, Chief Operating Officer
(870) 414-5156

Primary Contact

NARMC
Pamela Lea Kindall, Pharmacy Business Operations Supervisor
(870) 414-4141

Addresses

Street Address

724 N SPRING ST
SUITE A
HARRISON, AR 72601-2913

Billing Address

North Arkansas Regional Medical Center
PO BOX 2990
Harrison, AR 72602-2990

Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History

Comments

Comment	Last Updated On
No records to display.

Medicaid Billing

At this site, will the covered entity bill Medicaid fee-for-service for drugs purchased at 340B prices?
No

Shipping Addresses

Same as Street Address

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Carve-In Effective Date	Termination Date	Last Updated On
No records to display.

Parent/Child

340B ID	Hierarchy	Entity Type	Name	Sub Name	Address	City	State	340B Status
DSH040017A	Child	DSH	NORTH ARKANSAS REGIONAL MEDICAL CENTER	CLAUDE PARRISH COMMUNITY HEALTH CLINIC	131 EAST HIGHWAY 14	LEAD HILL	AR	Terminated
DSH040017B	Child	DSH	NORTH ARKANSAS REGIONAL MEDICAL CENTER	MARSHALL FAMILY PRACTICE CLINIC	211 AIRPORT ROAD	MARSHALL	AR	Terminated
DSH040017C	Child	DSH	NORTH ARKANSAS REGIONAL MEDICAL CENTER	NEWTON COUNTY FAMILY PRACTICE CLINIC	502 WEST COURT	JASPER	AR	Active
DSH040017D	Child	DSH	NORTH ARKANSAS REGIONAL MEDICAL CENTER	EMERGENCY MEDICAL SERVICES PRO FEE - Ambulance Services	1000 N MAIN ST	HARRISON	AR	Active
DSH040017E	Child	DSH	NORTH ARKANSAS REGIONAL MEDICAL CENTER	NORTH ARKANSAS REGIONAL MED CENTR - General Surgery Clinic	604 N SPRING ST	HARRISON	AR	Terminated
DSH040017F	Child	DSH	NORTH ARKANSAS REGIONAL MEDICAL CENTER	NARMC MEDICINE GROUP - Medicine Group	724 N SPRING ST	HARRISON	AR	Active
DSH040017G	Child	DSH	NORTH ARKANSAS REGIONAL MEDICAL CENTER	NARMC THE MED URGENT CARE - MED URGENT CARE CLINIC	4318 HWY 65 S	HARRISON	AR	Terminated
DSH040017H	Child	DSH	NORTH ARKANSAS REGIONAL MEDICAL CENTER	NARMC FAMILY DOCTORS GROUP - Family Doctor Clinic	520 N SPRING ST	HARRISON	AR	Active
DSH040017J	Child	DSH	NORTH ARKANSAS REGIONAL MEDICAL CENTER	NARMC INTERNAL MEDICINE - Internal Medicine	724 N SPRING ST	HARRISON	AR	Active
DSH040017K	Child	DSH	NORTH ARKANSAS REGIONAL MEDICAL CENTER	NARMC PEDIATRICS - Pediatrics Clinic	106 E CRANDALL AVE	HARRISON	AR	Terminated
DSH040017L	Child	DSH	NORTH ARKANSAS REGIONAL MEDICAL CENTER	NARMC BERRYVILLE CLINIC - NARMC Berryville Clinic	408 ORCHARD LANE	BERRYVILLE	AR	Active
DSH040017M	Child	DSH	NORTH ARKANSAS REGIONAL MEDICAL CENTER	NARMC WOMAN HEALTH & SURGERY CENTER - WOMENS HEALTH & SURGERY CENTER	520 PINE ST	HARRISON	AR	Active
DSH040017N	Child	DSH	NORTH ARKANSAS REGIONAL MEDICAL CENTER	NARMC GENERAL AND SPECIALTY SURGERY - General and Specialty Surgery	1401 HIGHWAY 62 65 N	HARRISON	AR	Active
DSH040017P	Child	DSH	NORTH ARKANSAS REGIONAL MEDICAL CENTER	NARMC THE MED URGENT CARE NORTH - Urgent Care	1401 HIGHWAY 62 65 N	HARRISON	AR	Active
DSH040017Q	Child	DSH	NORTH ARKANSAS REGIONAL MEDICAL CENTER	NARMC PEDIATRICS - PEDIATRICS	1401 HIGHWAY 62 65 N	HARRISON	AR	Active
DSH040017R	Child	DSH	NORTH ARKANSAS REGIONAL MEDICAL CENTER	NARMC PRIMARY AND OBSTETRICAL CARE - PRIMARY AND OBSTETRICAL	1401 HIGHWAY 62 65 N	HARRISON	AR	Active
DSH040017S	Child	DSH	NORTH ARKANSAS REGIONAL MEDICAL CENTER	NARMC ORTHOPEDIC AND SPORTS MEDICIN - Orthopedics & Sports Medicine	1401 HIGHWAY 62 65 N	HARRISON	AR	Active

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Medicaid Billing	Medicaid: Number	Delete	Change Request	131319105 (AR)		12/5/2024 10:58 AM
Medicaid Billing	Medicaid: Number	Delete	Change Request	10723500 (MO)		12/5/2024 10:58 AM
Medicaid Billing	NPI: Number	Delete	Change Request	1275523912 (AR)		12/5/2024 10:58 AM
Medicaid Billing	NPI: Number	Delete	Change Request	1275523912 (MO)		12/5/2024 10:58 AM
Details	Last Recertification Date	Update	Recertification		9/5/2024 10:40:05 AM	9/5/2024 10:40 AM
Details	State	Update		Approved	Active	10/1/2023 12:01 AM
Contacts	Signed By	Insert	New Registration		Bright, Josh Chief Operating Officer NARMC 8704145156	8/1/2023 7:41 AM
Details	340B ID	Update	New Registration		DSH040017F	8/1/2023 7:41 AM
Details	Entity Name	Update	New Registration	NORTH ARKANSAS REGIONAL MEDICAL CTR	NORTH ARKANSAS REGIONAL MEDICAL CENTER	8/1/2023 7:41 AM
Details	Entity Subname	Update	New Registration	NARMC MEDICINE GROUP	NARMC MEDICINE GROUP - Medicine Group	8/1/2023 7:41 AM
Dates	Participating Approval Date	Update	New Registration		8/1/2023 7:41:59 AM	8/1/2023 7:41 AM
Details	State	Update	New Registration	Pending	Approved	8/1/2023 7:41 AM
Dates	Signed By Date	Update	New Registration		7/26/2023 8:26:50 PM	8/1/2023 7:41 AM
Dates	Start Date	Update	New Registration		10/1/2023 12:00:00 AM	8/1/2023 7:41 AM
Addresses	Main Address	Insert	New Registration		724 N SPRING ST SUITE A HARRISON, AR 72601-2913	7/12/2023 9:32 PM
Addresses	Billing Address	Insert	New Registration		North Arkansas Regional Medical Center PO BOX 2990 Harrison, AR 72602-2990	7/12/2023 9:32 PM
Medicaid Billing	Medicaid: Is Primary	Insert	New Registration		False	7/12/2023 9:32 PM
Medicaid Billing	Medicaid: Number	Insert	New Registration		131319105	7/12/2023 9:32 PM
Medicaid Billing	Medicaid: State	Insert	New Registration		AR	7/12/2023 9:32 PM
Medicaid Billing	Medicaid: Is Primary	Insert	New Registration		False	7/12/2023 9:32 PM
Medicaid Billing	Medicaid: Number	Insert	New Registration		10723500	7/12/2023 9:32 PM
Medicaid Billing	Medicaid: State	Insert	New Registration		MO	7/12/2023 9:32 PM
Medicaid Billing	NPI: Number	Insert	New Registration		1275523912	7/12/2023 9:32 PM
Medicaid Billing	NPI: State	Insert	New Registration		AR	7/12/2023 9:32 PM
Medicaid Billing	NPI: Number	Insert	New Registration		1275523912	7/12/2023 9:32 PM
Medicaid Billing	NPI: State	Insert	New Registration		MO	7/12/2023 9:32 PM
Contacts	Authorizing Official	Insert	New Registration		Bright, Josh Chief Operating Officer NARMC 8704145156	7/12/2023 9:32 PM
Contacts	Primary Contact	Insert	New Registration		Kindall, Pamela Lea Pharmacy Business Operations Supervisor NARMC 8704144141	7/12/2023 9:32 PM
Details	Assistance Received From Date	Insert	New Registration			7/12/2023 9:32 PM
Details	Assistance Received To Date	Insert	New Registration			7/12/2023 9:32 PM
Details	Last Recertification Date	Insert	New Registration			7/12/2023 9:32 PM
Details	Grant Number	Insert	New Registration			7/12/2023 9:32 PM
Details	340B ID	Insert	New Registration			7/12/2023 9:32 PM
Details	Is Authorizing Official EHB Data	Insert	New Registration			7/12/2023 9:32 PM
Dates	Last Date That 340B Drugs Purchased	Insert	New Registration			7/12/2023 9:32 PM
Details	Medicare Provider Number	Insert	New Registration		040017	7/12/2023 9:32 PM
Details	Entity Name	Insert	New Registration		NORTH ARKANSAS REGIONAL MEDICAL CTR	7/12/2023 9:32 PM
Details	NOFO Number	Insert	New Registration			7/12/2023 9:32 PM
Details	Program Code	Insert	New Registration		DSH	7/12/2023 9:32 PM
Details	Entity Subname	Insert	New Registration		NARMC MEDICINE GROUP	7/12/2023 9:32 PM
Dates	Participating Approval Date	Insert	New Registration			7/12/2023 9:32 PM
Details	State	Insert	New Registration		Pending	7/12/2023 9:32 PM
Dates	Registration Date	Insert	New Registration		7/12/2023 9:32:41 PM	7/12/2023 9:32 PM
Dates	Signed By Date	Insert	New Registration			7/12/2023 9:32 PM
Dates	Start Date	Insert	New Registration			7/12/2023 9:32 PM
Terminations	Termination Comments	Insert	New Registration			7/12/2023 9:32 PM
Terminations	Termination Date	Insert	New Registration			7/12/2023 9:32 PM
Terminations	Termination Effective Date	Insert	New Registration			7/12/2023 9:32 PM
Terminations	Termination Reason	Insert	New Registration			7/12/2023 9:32 PM