NPIMap

Organization Active NPI

St. Bernards Hospital Inc.

Doing business as St, Bernards Medical Center- Osceola Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Osceola, AR
National Provider Identifier
1518339472
Registry record updated Mar 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
License
AR4053 Issued in AR
Legal business name
ST. BERNARDS HOSPITAL INC.
Doing business as
St, Bernards Medical Center- Osceola Dialysis
Practice address
1332 W Keiser Ave
Osceola, AR 72370-2919
Phone
(870) 207-4100
NPI assigned
Oct 30, 2015
Last updated
Mar 13, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2020

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

Authorized official

Name
Mr. Chris Barber
Title
President / Ceo
Phone
(870) 207-4429

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X AR4053 AR Primary

Addresses

Primary practice location

1332 W Keiser Ave
Osceola, AR 72370-2919

Mailing address

225 E Washington Ave
Jonesboro, AR 72401-3111
Phone (870) 207-4100

Other names 1

  • St, Bernards Medical Center- Osceola Dialysis Doing business as

National Provider Directory

National Provider Directory

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

1332 W Keiser Ave
Osceola, AR 72370
Phone (870) 563-4901

NPI Registry JSON

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

{
    "created_epoch": "1446163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584057600000",
    "number": "1518339472",
    "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": "870-207-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1332 W KEISER AVE",
            "city": "OSCEOLA",
            "state": "AR",
            "postal_code": "723702919",
            "telephone_number": "870-207-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. BERNARDS HOSPITAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-30",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A",
        "authorized_official_last_name": "BARBER",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "870-207-4429",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "AR",
            "license": "AR4053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St, Bernards Medical Center- Osceola Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St, Bernards Medical Center- Osceola Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Osceola, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.