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DSH040050 OUACHITA COUNTY MEDICAL CENTER (Active)
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Main Details
Name
OUACHITA COUNTY MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH040050
Medicare Provider Number
040050
Additional Details
Current Program Status
Active
Registration Date
2/11/2010
Participating Start Date
4/1/2010
Participating Approval Date
3/10/2010
Last Recertification Date
9/16/2024
Contacts
Authorizing Official
Ouachita County Medical Center
Peggy Abbott, CEO
(870) 836-1200
Primary Contact
Ouachita County Medical Center
Kyle Hively, Director of Pharmacy
(870) 836-1296
Addresses
Street Address
638 CALIFORNIA AVENUE SOUTHWEST
CAMDEN, AR 71701
Billing Address
OUACHITA COUNTY MEDICAL CENTER
PO BOX 797
CAMDEN, AR 71711
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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