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DSH040017B NORTH ARKANSAS REGIONAL MEDICAL CENTER (Terminated)
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Main Details
Name
NORTH ARKANSAS REGIONAL MEDICAL CENTER
Subdivision Name
MARSHALL FAMILY PRACTICE CLINIC
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH040017B
Medicare Provider Number
040017
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
9/15/2010
Participating Start Date
10/1/2010
Participating Approval Date
9/21/2010
Last Recertification Date
8/15/2023
Termination Date
Termination Reason
4/1/2024
Site closure
Contacts
Authorizing Official
NARMC
Josh Bright, Chief Operating Officer
(870) 414-5156
Primary Contact
NARMC
Pamela Lea Kindall, Pharmacy Business Operations Supervisor
(870) 414-4141
Addresses
Street Address
211 AIRPORT ROAD
MARSHALL, AR 72650
Billing Address
MARSHALL FAMILY PRACTICE CLINIC
P.O BOX 1266
MARSHALL, AR 72650
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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