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DSH040017C NORTH ARKANSAS REGIONAL MEDICAL CENTER (Active)
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Main Details
Name
NORTH ARKANSAS REGIONAL MEDICAL CENTER
Subdivision Name
NEWTON COUNTY FAMILY PRACTICE CLINIC
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH040017C
Medicare Provider Number
040017
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
9/15/2010
Participating Start Date
10/1/2010
Participating Approval Date
9/21/2010
Last Recertification Date
9/5/2024
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
502 WEST COURT
JASPER, AR 72641
Billing Address
NEWTON COUNTY FAMILY PRACTICE CLINIC
P.O BOX 445
JASPER, AR 72641
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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