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SCH040011-00 CHAMBERS MEMORIAL HOSPITAL (Active)
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Main Details
Name
CHAMBERS MEMORIAL HOSPITAL
Subdivision Name
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH040011-00
Medicare Provider Number
040011
Additional Details
Current Program Status
Active
Registration Date
7/11/2014
Participating Start Date
10/1/2014
Participating Approval Date
9/8/2014
Last Recertification Date
8/26/2024
Contacts
Authorizing Official
John Ed Chambers Memorial Hospital, Inc.
Scott Peek, CEO
(479) 495-0020
Primary Contact
CHAMBERS MEMORIAL HOSPITAL
ALEXIS KEELING, Collections
(479) 886-8687
Addresses
Street Address
719 DETROIT STREET
DANVILLE, AR 72833
Billing Address
CHAMBERS MEMORIAL HOSPITAL
PO BOX 639
DANVILLE, AR 72833
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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