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CAH041326-00 DELTA MEMORIAL HOSPITAL (Active)
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Main Details
Name
DELTA MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH041326-00
Medicare Provider Number
041326
Additional Details
Current Program Status
Active
Registration Date
12/30/2010
Participating Start Date
1/1/2011
Participating Approval Date
12/30/2010
Last Recertification Date
8/22/2024
Contacts
Authorizing Official
Delta Memorial Hospital
Jeremy D Capps, CEO
(870) 382-8126
Primary Contact
Delta Memorial Hospital
Dana Miles, CNO
(870) 382-7630
Addresses
Street Address
811 HWY 65 SOUTH
DUMAS, AR 71639
Billing Address
DELTA MEMORIAL HOSPITAL
PO BOX 887
DUMAS, AR 71639
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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