NPIMap

Organization Active NPI

St Bernards Hospital Inc

Doing business as St Bernards Medical Center

  • General Acute Care Hospital
  • Jonesboro, AR
National Provider Identifier
1336150374
Registry record updated Jul 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
AR4053 Issued in AR
Legal business name
ST BERNARDS HOSPITAL INC
Doing business as
St Bernards Medical Center
Practice address
225 E Washington Ave
Jonesboro, AR 72401-3111
Phone
(870) 972-4100
Fax
(870) 974-5112
NPI assigned
Aug 11, 2006
Last updated
Jul 8, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Chris Barber
Title
Hospital Administrator
Phone
(870) 972-4429

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X AR4053 AR Primary

Addresses

Primary practice location

225 E Washington Ave
Jonesboro, AR 72401-3111

Mailing address

225 E Washington Ave
Jonesboro, AR 72401-3111
Phone (870) 972-4100

Other identifiers 2

IdentifierTypeStateIssuer
101854002MedicaidAR
57941OtherARBLUE CROSS PRO FEES 1500

Other names 1

  • St Bernards Medical Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address St.Bernards@stb.hin.us

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050121000843 AR Part B Supplier - Clinic/Group Practice 0941105480 Receives reassigned benefits from 116 practitioners
1 other NPI on this enrollment
Practice locations: Jonesboro, AR
O20180608000629 AR Part B Supplier - Intensive Cardiac Rehabilitation 0941105480 Practice locations: Jonesboro, AR

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1416 E Matthews Ave
Jonesboro, AR 72401
Phone (870) 207-5677

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Encompass Health Rehabilitation Hospital of JonesboroJonesboro, AR, CCN 043029 Hospital 5% Or Greater Direct Ownership Interest (50%) Feb 1, 2013

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 121

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 121

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594166400000",
    "number": "1336150374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E WASHINGTON AVE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724013111",
            "telephone_number": "870-972-4100",
            "fax_number": "870-974-5112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E WASHINGTON AVE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724013111",
            "telephone_number": "870-972-4100",
            "fax_number": "870-974-5112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST BERNARDS HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A",
        "authorized_official_last_name": "BARBER",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "HOSPITAL ADMINISTRATOR",
        "authorized_official_telephone_number": "870-972-4429"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "AR",
            "license": "AR4053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101854002",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PRO FEES 1500",
            "identifier": "57941",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "St.Bernards@stb.hin.us",
            "affiliation": "N",
            "address_1": "225 E Washington Ave",
            "city": "Jonesboro",
            "state": "AR",
            "country_code": "US",
            "postal_code": "724013111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "St Bernards Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St Bernards Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jonesboro, AR

Sources for this page

Verify at the official NPI Registry.