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DSH040036 BAPTIST HEALTH MEDICAL CENTER- NLR (Active)
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Main Details
Name
BAPTIST HEALTH MEDICAL CENTER- NLR
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH040036
Medicare Provider Number
040036
Additional Details
Current Program Status
Active
Registration Date
7/12/2024
Participating Start Date
10/1/2024
Participating Approval Date
7/18/2024
Last Recertification Date
Contacts
Authorizing Official
Baptist Health
Brent Beaulieu, CFO
(501) 202-2017
Primary Contact
Baptist Health
Stefanie Jaeger, Sr. Reimbursement Specialist
(501) 202-1813
Addresses
Street Address
3333 SPRINGHILL DRIVE
NORTH LITTLE ROCK, AR 72117
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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