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DSH040017G NORTH ARKANSAS REGIONAL MEDICAL CENTER (Terminated)
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Main Details
Name
NORTH ARKANSAS REGIONAL MEDICAL CENTER
Subdivision Name
NARMC THE MED URGENT CARE - MED URGENT CARE CLINIC
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH040017G
Medicare Provider Number
040017
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
7/12/2023
Participating Start Date
10/1/2023
Participating Approval Date
8/1/2023
Last Recertification Date
Termination Date
Termination Reason
4/1/2024
Site closure
Contacts
Authorizing Official
NARMC
Josh Bright, Chief Operating Officer
(870) 414-5156
Primary Contact
NARMC
Pamela Lea Kindall, Pharmacy Business Operations Supervisor
(870) 414-4141
Addresses
Street Address
4318 HWY 65 S
HARRISON, AR 72601-9487
Billing Address
North Arkansas Regional Medical Center
PO Box 2990
Harrison, AR 72602-2990
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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