340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH040014B WHITE COUNTY MEDICAL CENTER (Active)
Print
Main Details
Name
WHITE COUNTY MEDICAL CENTER
Subdivision Name
WHITE COUNTY ONCOLOGY
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH040014B
Medicare Provider Number
040014
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
2/11/2010
Participating Start Date
4/1/2015
Participating Approval Date
3/10/2010
Last Recertification Date
9/6/2024
Contacts
Authorizing Official
White County Medical Center
Stuart Randall Hill, VP Treasurer
(501) 380-1004
Primary Contact
White County Medical Center
Scotty Terl Parker, AVP Ancillary Services
(501) 380-1382
Addresses
Street Address
415 Rodgers Drive Suite A
SEARCY, AR 72143
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
1
to
2
of
2
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
1
to
2
of
2
Page:
of 1
Go
Page size:
Change
3/13/15 participating 4/1/2010 thru 12/31/13 as DSH, 340B ID terminated when hospital converted to SCH entity type effective 1/1/14, changed entity type back to DSH effective 4/1/15 based on on-line registration submitted in January 2015; 3/24/2010- DOCUMENT RECD. TO CONFIRM ELIGIBLE OWNERSHIP TYPE; 12/13/08 OPA NOTIFIED ON 11/25/08 DOC RECD TO CONFIRM ELIG DSH ADJ%
03/13/2015
3/24/2010- DOCUMENT RECD. TO CONFIRM ELIGIBLE OWNERSHIP TYPE; 12/13/08 OPA NOTIFIED ON 11/25/08 DOC RECD TO CONFIRM ELIG DSH ADJ%
05/18/2010
April 2025
April 2025
week
S
M
T
W
T
F
S
14
30
31
1
2
3
4
5
15
6
7
8
9
10
11
12
16
13
14
15
16
17
18
19
17
20
21
22
23
24
25
26
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session