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DSH040051 Baptist Health Medical Center - Drew County (Active)
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Main Details
Name
Baptist Health Medical Center - Drew County
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH040051
Medicare Provider Number
040051
Additional Details
Current Program Status
Active
Registration Date
6/7/2010
Participating Start Date
7/1/2010
Participating Approval Date
6/15/2010
Last Recertification Date
9/4/2024
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
778 SCOGIN DRIVE
MONTICELLO, AR 71655
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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8/16/10 NPI ADDED
08/16/2010
April 2025
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