340B Drug Pricing Program Database
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CAH041324-00 CHI St. Vincent Morrilton (Active)
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Main Details
Name
CHI St. Vincent Morrilton
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH041324-00
Medicare Provider Number
041324
Additional Details
Current Program Status
Active
Registration Date
9/24/2010
Participating Start Date
9/28/2010
Participating Approval Date
9/24/2010
Last Recertification Date
8/12/2024
Contacts
Authorizing Official
St. Vincent Morrilton
Angie Longing, President
(501) 514-4514
Primary Contact
CHI St. Vincent Pharmacy
Debbie Campbell, Team Lead Pharmacist Revenue Cycle/340B
(501) 552-2800
Addresses
Street Address
4 HOSPITAL DRIVE
MORRILTON, AR 72110
Billing Address
ST VIN MORRLTN PHS
ATTN: A/P
PO BOX 636000
PO
LITTLETON, CO 80163
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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