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CAH041321-07 BAPTIST HEALTH MEDICAL CENTER - ARKADELPHIA (Active)
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Main Details
Name
BAPTIST HEALTH MEDICAL CENTER - ARKADELPHIA
Subdivision Name
Baptist Health Family Clinic - Sparkman - Baptist Health Family Clinic - Sparkman
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH041321-07
Medicare Provider Number
041321
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/15/2022
Participating Start Date
10/1/2022
Participating Approval Date
7/26/2022
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
104 West Taylor Street
Sparkman, AR 71763
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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