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DSH040062 MERCY HOSPITAL FORT SMITH (Active)
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Main Details
Name
MERCY HOSPITAL FORT SMITH
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH040062
Medicare Provider Number
040062
Additional Details
Current Program Status
Active
Registration Date
1/14/2015
Participating Start Date
4/1/2015
Participating Approval Date
3/5/2015
Last Recertification Date
8/19/2024
Contacts
Authorizing Official
Mercy
Greta Wilcher, Vice-President Finance
(479) 314-6100 Ext: 6104
Primary Contact
Mercy Shared Services
Mike Loftus, Director-Hospital Pharmacy
(417) 820-3487
Addresses
Street Address
7301 ROGERS AVENUE
FORT SMITH, AR 72903
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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