ST BERNARDS HOSPITAL INC (NPI# 1043232812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043232812 |
| Entity Type | Organization |
| Organization Name | ST BERNARDS HOSPITAL INC |
| Other Organization Name | ST BERNARDS DIALYSIS WYNNE |
| Practice Address |
310 Falls Blvd S Wynne AR 72396-3013 |
| Mailing Address |
Po Box 1713 Jonesboro AR 72403-1713 |
| Practice Telephone | 8702383300 |
| Mailing Telephone | 8709724172 |
| Mailing Fax Number | 8709339666 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2020-07-20 |
| Authorized Official Name | MR. BENJAMIN BARYLSKE (CFO) |
| Authorized Official Telephone | 8709724565 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
AR4053 | AR | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 101693105 | 05 |
| Other Name | Type Code |
|---|---|
| St Bernards Dialysis Wynne | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023117322 | St Bernards Hospital Inc | General Acute Care Hospital | 900 W Monroe Ave, Jonesboro, AR 72401-2651 | 2006-09-22 |
| 1922043686 | St Bernards Hospital Inc | General Acute Care Hospital | 225 E Washington Ave, Jonesboro, AR 72401-3111 | 2006-06-18 |
| 1831255397 | St Bernards Hospital Inc | General Acute Care Hospital | 225 E Washington Ave, Jonesboro, AR 72401-3111 | 2006-12-29 |
| 1932204344 | St Bernards Hospital Inc | Psychiatric Hospital | 2712 E Johnson Ave, Jonesboro, AR 72401-1874 | 2006-09-13 |
| 1336150374 | St Bernards Hospital Inc | General Acute Care Hospital | 225 E Washington Ave, Jonesboro, AR 72401-3111 | 2006-08-11 |
| 1134141906 | St Bernards Hospital Inc | Clinic/Center | 225 E Washington Ave, Jonesboro, AR 72401-3111 | 2006-07-24 |
| 1497784029 | St Bernards Hospital Inc | Skilled Nursing Facility | 225 E Jackson Ave, Jonesboro, AR 72401-3119 | 2006-07-03 |
| 1023048659 | St Bernards Hospital Inc | Home Health | 1726 Marie Cir, Jonesboro, AR 72401-5355 | 2006-07-03 |
| Street Address |
310 FALLS BLVD S |
| City | WYNNE |
| State | AR |
| Zip Code | 72396-3013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184945826 | Robert Dunn Brawner Jr. | Physical Therapist | 310 Falls Blvd S, Wynne, AR 72396-3013 | 2010-06-17 |
| 1356532907 | William H Huffman | Physical Therapist | 310 Falls Blvd S, Wynne, AR 72396-3013 | 2007-08-08 |
| 1689898140 | St Bernards Community Hospital Corp | General Acute Care Hospital | 310 Falls Blvd S, Wynne, AR 72396-3013 | 2007-04-13 |
| 1407972193 | Sushma C Parekh | Radiology | 310 Falls Blvd S, Wynne, AR 72396-3013 | 2007-03-22 |
| 1447398698 | Stacie Patterson | Pharmacist | 310 Falls Blvd S, Wynne, AR 72396-3013 | 2007-02-01 |
| 1568542603 | Garnett Julian Leonard | Personal Emergency Response Attendant | 310 Falls Blvd S, Wynne, AR 72396-3013 | 2006-10-16 |
| 1194815456 | Ulf K Jensen Md PC | Emergency Medicine | 310 Falls Blvd S, Wynne, AR 72396-3013 | 2006-10-14 |
| 1194813816 | Coopers Anesthesia Services | General Acute Care Hospital | 310 Falls Blvd S, Wynne, AR 72396-3013 | 2006-10-10 |
| 1982615589 | St Bernard Community Hospital Corporation | General Acute Care Hospital | 310 Falls Blvd S, Wynne, AR 72396-3013 | 2006-08-10 |
| 1114937174 | St Bernard Community Hospital Corporation | General Acute Care Hospital | 310 Falls Blvd S, Wynne, AR 72396-3013 | 2006-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962918813 | David Makool | Occupational Therapy Assistant | 2000 Gogbill Road, Wynne, AR 72396 | 2017-12-14 |
| 1912425554 | Barbara Ann Burgess | Case Manager/Care Coordinator | 661 Addison, Wynne, AR 72396 | 2017-09-05 |
| 1518481308 | Tyler Leigh Shumard | Physical Therapy Assistant | 128 County Road 145, Wynne, AR 72396 | 2017-08-02 |
| 1588957476 | Northeast Arkansas Community Mental Health Center | Counselor | 661 Addison Dr., Wynne, AR 72396 | 2011-05-25 |
| 1417106493 | Katherine Danielle Calhoun | Dietitian, Registered | 1013 Bridges Ave East, Wynne, AR 72396 | 2008-09-15 |
| 1053531319 | George Scott Puryear, Dds, Pa | Dentist | 715 East Eldrdige Avenue, Wynne, AR 72396 | 2007-04-27 |
| 1730245465 | Marilyn J Cullum | Counselor | 1742 Falls Blvd. Suite 5, The Logan Center, Wynne, AR 72396 | 2006-12-28 |
| 1770655185 | Robert Walton Bassham | Dentist | 669 Addison Drive, Wynne, AR 72396 | 2006-11-14 |
| 1073683827 | George Scott Puryear Jr. | Dentist | 715 E. Eldridge Ave, Wynne, AR 72396 | 2006-11-09 |
| 1194809517 | Richard Keeter Toland | Dentist | 2100 North Killough, Wynne, AR 72396 | 2006-10-24 |
| Find all providers in zip 72396 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760092597 | Fort Smith Regional Dialysis Center, LLC | Clinic/Center | 256 Northridge Drive E, Van Buren, AR 72956 | 2020-08-06 |
| 1073010518 | Toltec Dialysis LLC | Clinic/Center | 2630 Donaghey Ave, Conway, AR 72032-0000 | 2018-04-11 |
| 1588102610 | Matheson Dialysis LLC | Clinic/Center | 9022 Landers Rd Ste E, North Little Rock, AR 72117-1599 | 2017-02-09 |
| 1871031211 | Bio-medical Applications of Mississippi, Inc. | Clinic/Center | 115 E Peddicord St, Dermott, AR 71638-2314 | 2017-02-06 |
| 1821455494 | Bio-medical Applications of Mississippi, Inc. | Clinic/Center | 505 Saint Mary St, Lake Village, AR 71653-1722 | 2016-01-27 |
| 1912399601 | Ozark Dialysis LLC | Clinic/Center | 404 Camp Rd, Pocahontas, AR 72455-1487 | 2015-03-04 |
| 1447640917 | Fidelity Home Dialysis Corporation | Clinic/Center | 9421 W Markham St, Little Rock, AR 72205-2240 | 2015-02-04 |
| 1386053296 | Arkansas Staff Assisted Hemodialysis,inc | Clinic/Center | 321 Terry Pond Cv, White Hall, AR 71602-8212 | 2014-08-05 |
| 1609291202 | Little Rock Renal Services LLC | Clinic/Center | 1910 John Barrow Rd, Little Rock, AR 72204-1448 | 2014-02-19 |
| 1396178471 | Renal Treatment Centers - Southeast Lp | Clinic/Center | 6115 Baseline Rd, Ste 100, Little Rock, AR 72209 | 2013-08-13 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ST BERNARDS HOSPITAL INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.