340B Drug Pricing Program Database
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DSH040156 Baptist Memorial Hospital-Crittenden, Inc. (Active)
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Main Details
Name
Baptist Memorial Hospital-Crittenden, Inc.
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH040156
Medicare Provider Number
040156
Additional Details
Current Program Status
Active
Registration Date
4/14/2020
Participating Start Date
4/15/2020
Participating Approval Date
4/15/2020
Last Recertification Date
8/21/2024
Contacts
Authorizing Official
Baptist Memorial Health Care Corporation
Cyndi Pittman, VP Financial Operations
(901) 227-8480
Primary Contact
Baptist Memorial Health Care Corp
Donna C Cox, Director 340B
(901) 227-5144
Addresses
Street Address
2100 N 7th ST
West Memphis, AR 72301
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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