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DARLING MEDI-SAVE
DSH040014 WHITE COUNTY MEDICAL CENTER
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Covered Entity Details
Entity Name
WHITE COUNTY MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH040014
Entity Address
3214 East Race Avenue
SEARCY, AR 72143
Medicare Provider Number
040014
Participating Start Date
4/1/2015
Last Recertification Date
9/6/2024
Pharmacy Details
Pharmacy Name
DARLING MEDI-SAVE
Pharmacy Address
JIM DARLING
1303 MCLAIN ST
NEWPORT, AR 72112-7211
Pharmacy Comments
02/14/2012 updated addr (was 1303 MCLAIN STREET)
Contract Details
Approval Date
10/7/2016
Contract Begin Date
1/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
STUART HILL, VP/CFO
(501) 380-1004
Contract Pharmacy Representative
Jimmy Darling, POC
(870) 523-5888
Signed By Date
10/7/2016
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