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CAH041321-06 BAPTIST HEALTH MEDICAL CENTER - ARKADELPHIA (Active)
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Main Details
Name
BAPTIST HEALTH MEDICAL CENTER - ARKADELPHIA
Subdivision Name
BAPTIST HEALTH - BH Arkadelphia Medical Clinic
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH041321-06
Medicare Provider Number
041321
Outpatient Facility Provider Number
048524
Additional Details
Current Program Status
Active
Registration Date
7/6/2021
Participating Start Date
10/1/2021
Participating Approval Date
7/13/2021
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
2913 CYPRESS RD, STE 100
ARKADELPHIA, AR 71923-4251
Billing Address
Baptist Health Medical Center - Arkadelphia
3050 Twin Rivers Drive
Arkadelphia, AR 71923
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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