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DSH040114 BAPTIST HEALTH MEDICAL CENTER - LR (Active)
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Main Details
Name
BAPTIST HEALTH MEDICAL CENTER - LR
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH040114
Medicare Provider Number
040114
Additional Details
Current Program Status
Active
Registration Date
7/10/2015
Participating Start Date
10/1/2015
Participating Approval Date
7/21/2015
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
9601 Baptist Health Drive
LITTLE ROCK, AR 72205
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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7/21/15 Participated starting 10/1/2012, terminated 7/1/2014 due to "DSH percentage below statutory minimum." Reinstated based on new registration submitted in July 2015.
07/21/2015
Participated starting 10/1/2012, terminated 7/1/2014 due to "DSH percentage below statutory minimun." Reinstated based on new registration submitted in July 2015.
07/21/2015
May 2025
May 2025
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