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CAH041303-00 MERCY HOSPITAL OZARK (Active)
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Main Details
Name
MERCY HOSPITAL OZARK
Subdivision Name
Type
Critical Access Hospital
Rural
No
340B ID
CAH041303-00
Medicare Provider Number
041303
Additional Details
Current Program Status
Active
Registration Date
4/10/2024
Participating Start Date
7/1/2024
Participating Approval Date
4/22/2024
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
801 WEST RIVER
OZARK, AR 72949
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participating Start Date 4/1/2011, Termination Date 4/1/2015, Reinstatement 7/1/2024
04/17/2024
April 2025
April 2025
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