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CAH041310-00 White River Health System, Inc. DBA Stone County Medical Center (Active)
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Main Details
Name
White River Health System, Inc. DBA Stone County Medical Center
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH041310-00
Medicare Provider Number
041310
Additional Details
Current Program Status
Active
Registration Date
8/17/2011
Participating Start Date
10/1/2011
Participating Approval Date
9/11/2011
Last Recertification Date
9/9/2024
Contacts
Authorizing Official
White River Health System
Shawna Jeffrey Ives, Controller
(870) 262-6100
Primary Contact
Stone County Medical Center
Amanda Langston, Pharmacist
(870) 262-5005 Ext: 5016
Addresses
Street Address
2106 East Main Street
Mountain View, AR 72560
Billing Address
Stone County Medical Center
PO Box 510
Mountain View, AR 72560
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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