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CAH041300-00 MERCY HOSPITAL PARIS (Active)
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Main Details
Name
MERCY HOSPITAL PARIS
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH041300-00
Medicare Provider Number
041300
Additional Details
Current Program Status
Active
Registration Date
4/10/2024
Participating Start Date
7/1/2024
Participating Approval Date
5/1/2024
Last Recertification Date
8/21/2024
Contacts
Authorizing Official
Mercy
Sherry Clouse Day, VP Finance - Mercy CAH
(417) 820-8439
Primary Contact
Mercy Shared Services
Mike Loftus, Director-Hospital Pharmacy
(417) 820-3487
Addresses
Street Address
500 EAST ACADEMY
PARIS, AR 72855
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participating starting 4/1/2011; Terminated 4/1/2015; Reinstated 7/1/2024.
04/30/2024
May 2025
May 2025
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