340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
FQHCLA390 MERCY MEDICAL HEALTH CENTER (Active)
Print
Main Details
Name
MERCY MEDICAL HEALTH CENTER
Subdivision Name
Mercy Medical Health Center
Type
Health Center Program Look-Alike
Site ID
BPS-LAL-034444
340B ID
FQHCLA390
Grant Number
LALCS31662
Additional Details
Current Program Status
Active
Registration Date
4/2/2019
Participating Start Date
7/1/2019
Participating Approval Date
6/10/2019
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Mercy Medical Health Center
Kimberly Lynn Brunson, CEO
(318) 259-1100
Primary Contact
Mercy Medical Health Center
Christi Permenter, Pharmacy Manager
(318) 475-3500 Ext: 502
Addresses
Street Address
244 Bond Street
Jonesboro, LA 71251
Billing Address
Mercy Medical Health Center
PO Box 70
Hodge, LA 71247
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
April 2025
April 2025
week
S
M
T
W
T
F
S
14
30
31
1
2
3
4
5
15
6
7
8
9
10
11
12
16
13
14
15
16
17
18
19
17
20
21
22
23
24
25
26
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session