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BENNETT HEALTH SERVICES INC
CAH041312-00 BAPTIST HEALTH MEDICAL CENTER HEBER SPRINGS
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Covered Entity Details
Entity Name
BAPTIST HEALTH MEDICAL CENTER HEBER SPRINGS
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH041312-00
Entity Address
1800 BYPASS ROAD
HEBER SPRINGS, AR 72543
Medicare Provider Number
041312
Participating Start Date
9/27/2010
Last Recertification Date
9/3/2024
Pharmacy Details
Pharmacy Name
BENNETT HEALTH SERVICES INC
Pharmacy Address
DBA FAIRFIELD BAY PHARMACY
367 DAVE CREEK PKWY
FAIRFIELD BAY, AR 72088
Pharmacy Comments
Contract Details
Approval Date
4/2/2015
Contract Begin Date
7/1/2015
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
EDWARD LACY, VICE PRESIDENT & ADMINISTRATOR
(501) 887-3221
Contract Pharmacy Representative
Jenny Boone Treece, Owner
(501) 884-3388
Signed By Date
4/2/2015
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