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DSH040014E WHITE COUNTY MEDICAL CENTER (Active)
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Main Details
Name
WHITE COUNTY MEDICAL CENTER
Subdivision Name
FAMILY PRACTICE ASSOCIATES / Family Medicine
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH040014E
Medicare Provider Number
040014
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/11/2013
Participating Start Date
4/1/2015
Participating Approval Date
3/11/2013
Last Recertification Date
9/6/2024
Contacts
Authorizing Official
White County Medical Center
Stuart Randall Hill, VP Treasurer
(501) 380-1004
Primary Contact
White County Medical Center
Scotty Terl Parker, AVP Ancillary Services
(501) 380-1382
Addresses
Street Address
3130 E RACE AVE 100
Searcy, AR 72143-4810
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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3/13/15 participating 4/1/2013 thru 12/31/13 as DSH, 340B ID terminated when hospital converted to SCH entity type effective 1/1/14, changed entity type back to DSH effective 4/1/15 based on on-line registration submitted in January 2015;
03/13/2015
April 2025
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