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DSH040015D MENA REGIONAL HEALTH SYSTEM (Active)
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Main Details
Name
MENA REGIONAL HEALTH SYSTEM
Subdivision Name
MENA HOSPITAL COMMISSION MENA MEDICAL ASSOCIATES - MENA HOSPITAL COMMISSION MENA MEDICAL ASSOCIATES
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH040015D
Medicare Provider Number
040015
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/9/2020
Participating Start Date
4/21/2020
Participating Approval Date
4/10/2020
Last Recertification Date
8/23/2024
Contacts
Authorizing Official
Mena Regional Health System
Paul Ervin, CFO
(479) 243-2130
Primary Contact
Mena Regional Health System
Angie Aynes, PHARMACY DIRECTOR
(479) 394-6100 Ext: 2224
Addresses
Street Address
1103 College Drive
Mena, AR 71953
Billing Address
Mena Regional Health System
311 North Morrow Street
Mena, AR 71953
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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