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CAH041312-02 BAPTIST HEALTH MEDICAL CENTER HEBER SPRINGS (Terminated)
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Main Details
Name
BAPTIST HEALTH MEDICAL CENTER HEBER SPRINGS
Subdivision Name
Baptist Health Therapy Center - Fairfield Bay
Type
Critical Access Hospital
Rural
No
340B ID
CAH041312-02
Medicare Provider Number
041312
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
5/8/2012
Participating Start Date
7/1/2012
Participating Approval Date
6/19/2012
Last Recertification Date
9/13/2023
Termination Date
Termination Reason
4/1/2024
Site closure
Contacts
Authorizing Official
Baptist Health
Brent Beaulieu, CFO
(501) 202-2017
Primary Contact
Baptist Health
Stefanie Jaeger, Sr. Reimbursement Specialist
(501) 202-1813
Addresses
Street Address
381 Dave Creek Parkway
Fairfield Bay, AR 72088
Billing Address
Baptist Health Medical Center - Heber Springs
1800 Bypass Road
Heber Springs, AR 72543
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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