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CAH041321-02 BAPTIST HEALTH MEDICAL CENTER - ARKADELPHIA (Active)
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Main Details
Name
BAPTIST HEALTH MEDICAL CENTER - ARKADELPHIA
Subdivision Name
Baptist Health Family Clinic - Gurdon
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH041321-02
Medicare Provider Number
041321
Outpatient Facility Provider Number
048504
Additional Details
Current Program Status
Active
Registration Date
7/4/2014
Participating Start Date
10/1/2014
Participating Approval Date
9/3/2014
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
200 East Walnut Street
Gurdon, AR 71743-1256
Billing Address
Baptist Health Medical Center - Arkadelphia
3050 Twin Rivers Drive
Arkadelphia, AR 71923
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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