340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH040114D BAPTIST HEALTH MEDICAL CENTER - LR (Active)
Print
Main Details
Name
BAPTIST HEALTH MEDICAL CENTER - LR
Subdivision Name
Heart Transplant
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH040114D
Medicare Provider Number
040114
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/12/2013
Participating Start Date
10/1/2015
Participating Approval Date
5/3/2013
Last Recertification Date
9/3/2024
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
9500 Kanis Road
Suite 410
Little Rock, AR 72205
Billing Address
Baptist Health Medical Center - Little Rock
9601 Baptist Health Drive
Little Rock, AR 72205
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
1
to
1
of
1
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
1
to
1
of
1
Page:
of 1
Go
Page size:
Change
8/4/15 Participated starting 7/1/2013, terminated 7/1/2014 due to "DSH percentage below statutory minimum.", Reinstated based on new registration submitted in July 2015
08/04/2015
May 2025
May 2025
week
S
M
T
W
T
F
S
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
20
11
12
13
14
15
16
17
21
18
19
20
21
22
23
24
22
25
26
27
28
29
30
31
23
1
2
3
4
5
6
7
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session