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DSH040015 MENA REGIONAL HEALTH SYSTEM (Active)
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Main Details
Name
MENA REGIONAL HEALTH SYSTEM
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH040015
Medicare Provider Number
040015
Additional Details
Current Program Status
Active
Registration Date
6/7/2010
Participating Start Date
7/1/2010
Participating Approval Date
6/7/2010
Last Recertification Date
8/29/2024
Contacts
Authorizing Official
Mena Regional Health System
Paul Ervin, CFO
(479) 243-2130
Primary Contact
Mena Regional Health System
Angie Aynes, PHARMACY DIRECTOR
(479) 394-6100 Ext: 2224
Addresses
Street Address
311 NORTH MORROW
MENA, AR 71953
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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