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DSH040154 BHMC-CONWAY (Terminated)
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Main Details
Name
BHMC-CONWAY
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH040154
Medicare Provider Number
040154
Additional Details
Current Program Status
Terminated
Registration Date
7/15/2020
Participating Start Date
10/1/2020
Participating Approval Date
7/21/2020
Last Recertification Date
9/12/2022
Termination Date
Termination Reason
7/1/2023
DSH percentage below statutory minimum
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
1555 EXCHANGE AVENUE
CONWAY, AR 72032
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participated starting 1/1/2018, terminated 7/1/2019. Reinstated 10/1/2020.
07/21/2020
April 2025
April 2025
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