ST BERNARDS HOSPITAL INC


Address: 225 E Washington Ave, Jonesboro, AR 72401-3111
Phone: 8709724470

ST BERNARDS HOSPITAL INC (NPI# 1134141906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134141906
Entity Type Organization
Organization Name ST BERNARDS HOSPITAL INC
Other Organization Name ST BERNARDS DIALYSIS
Practice Address 225 E Washington Ave
Jonesboro
AR 72401-3111
Practice Telephone 8709724470
Practice Fax Number 8709745084
Mailing Telephone 8709724470
Mailing Fax Number 8709745084
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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
AR BLUE CROSS 12303 01
AR 101693105 05

Other Provider/Organization Names

Other Name Type Code
St Bernards Dialysis Doing Business As Name - Organization

Other Provider IDs and Locations

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
1043232812 St Bernards Hospital Inc Clinic/Center 310 Falls Blvd S, Wynne, AR 72396-3013 2006-07-24
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
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

Office Location

Street Address 225 E WASHINGTON AVE
City JONESBORO
State AR
Zip Code 72401-3111

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922043686 St Bernards Hospital Inc General Acute Care Hospital 225 E Washington Ave, Jonesboro, AR 72401-3111 2006-06-18
1710588462 Elizabeth Jean Mcquay Nurse Practitioner 225 E Washington Ave, Jonesboro, AR 72401-3111 2020-11-07
1144836347 Ashley Featherston Clinical Nurse Specialist 225 E Washington Ave, Jonesboro, AR 72401-3111 2020-09-22
1326656513 Heather Porterfield Clinical Nurse Specialist 225 E Washington Ave, Jonesboro, AR 72401-3111 2020-07-14
1184250805 Ashley Elizabeth Mclean Physician Assistant 225 E Washington Ave, Jonesboro, AR 72401-3111 2020-03-13
1619427382 Volha Liaukovich Internal Medicine 225 E Washington Ave, Jonesboro, AR 72401-3111 2016-10-06
1982058780 Danny Vo Tran Psychiatry & Neurology 225 E Washington Ave, Jonesboro, AR 72401-3111 2016-04-18
1780065599 Amr El-aawar Hospitalist 225 E Washington Ave, Jonesboro, AR 72401-3111 2015-06-17
1528451648 St. Bernards Hospital Inc Pharmacy 225 E Washington Ave, Jonesboro, AR 72401-3111 2015-03-13
1396053096 St Bernards Hospital Inc. General Acute Care Hospital 225 E Washington Ave, Jonesboro, AR 72401-3111 2010-09-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407453368 Mariah Kay Jackson Physical Therapy Assistant Creative Kids Therapy, Jonesboro, AR 72401 2020-10-05
1821606005 Kafayat Folake Iyanda Specialist/Technologist 2105 East Aggie Rd, Jonesboro, AR 72401 2020-07-14
1053936310 Josh Roberts Physical Therapist 1010 South Main St, Jonesboro, AR 72401 2020-06-12
1003449687 Amy Mary Elizabeth Daughhetee Nurse Practitioner 225 East Washington Ave, Jonesboro, AR 72401 2020-02-21
1871126698 Sarah Lowtharp Clinical Nurse Specialist 225 East Washington Ave., Jonesboro, AR 72401 2020-02-20
1891335519 Mallori Miller Case Manager/Care Coordinator 837 Willett Rd, Jonesboro, AR 72401 2020-01-10
1265073704 Michael Bruce Collie Registered Nurse 837 Williett Road, Jonesboro, AR 72401 2019-10-07
1285283432 Jonesboro Ambulatory Surgery Center, LLC Clinic/Center 1710 Mayfield Dr, Jonesboro, AR 72401 2019-09-10
1841843943 Destinee Katrina Cole Specialist/Technologist 2015 Aggie Rd, Jonesboro, AR 72401 2019-07-18
1699250472 Jessica Marie Mcnatt Occupational Therapist 907 County Road 753, Jonesboro, AR 72401 2018-09-27
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Taxonomy Information

Taxonomy Code 261QE0700X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization End-Stage Renal Disease (ESRD) Treatment

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962946350 Total Renal Care Inc Clinic/Center 6540 Tara Blvd, Ste 200, Jonesboro, GA 30236-1228 2016-12-05
1760899710 Fresenius Medical Care Jonesboro, LLC Clinic/Center 8060 Summitt Business Parkway, Jonesboro, GA 30236 2014-07-22
1568885812 Bio-medical Applications of Georgia, Inc. Clinic/Center 2450 Mount Zion Pkwy, Jonesboro, GA 30236-2500 2014-01-22
1033491519 Northeast Arkansas Clinic Charitable Foundation, Inc. Clinic/Center 4909 East Johnson Ave., Jonesboro, AR 72401 2011-09-12
1851352991 Northeast Arkansas Clinic, P.a. Clinic/Center 3005 Middlefield Dr, Jonesboro, AR 72401-7438 2006-03-29
1316916257 Renal Treatment Centers Mid Atlantic Inc Clinic/Center 129 King St, Jonesboro, GA 30236-3656 2006-03-14
1447581673 Northeast Arkansas Clinic Charitable Foundation, Inc Clinic/Center 3005 Middlefield Dr, Jonesboro, AR 72401-7438 2010-01-28

Providers in the same taxonomy and state

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
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Competitor

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City JONESBORO
Zip Code 72401

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Dataset Information

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.

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