NPIMap

Organization Active NPI

Five Rivers Medical Center Inc.

Doing business as St. Bernards Five Rivers Medical Center

  • General Acute Care Hospital
  • Pocahontas, AR
National Provider Identifier
1528360989
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
FIVE RIVERS MEDICAL CENTER INC.
Doing business as
St. Bernards Five Rivers Medical Center
Practice address
2801 Medical Center Dr
Pocahontas, AR 72455-9436
Phone
(870) 892-6000
Fax
(870) 892-8100
NPI assigned
Nov 17, 2010
Last updated
Jun 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Authorized official

Name
Randall Dewayne Barymon
Title
Ceo
Phone
(870) 892-6200

Specialties & licenses 1

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

Addresses

Primary practice location

2801 Medical Center Dr
Pocahontas, AR 72455-9436

Mailing address

2801 Medical Center Dr
Pocahontas, AR 72455-9436
Phone (870) 892-6000

Other names 1

  • ST. BERNARDS FIVE RIVERS MEDICAL CENTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230622002731 AR Part A Provider - Rural Emergency Hospital (Reh) 1456540194 Practice locations: Pocahontas, AR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1528360989. Details of each certification follow.

Hospital certification: CCN 040779

Legal name
FIVE RIVERS MEDICAL CENTER INC
Doing business as
ST. BERNARDS FIVE RIVERS MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Rural emergency hospital
Participating since
Sep 1, 2023
Last certification
Apr 9, 2025
Beds
1
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Nov 2, 2010 in AR
Enrollment address
2801 Medical Center Dr
Pocahontas, AR 72455-9436
Main/Primary Hospital Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 5

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

Care Compare: Hospital

Medicare Care Compare
Listed as
St Bernards Five Rivers Medical CenterCCN 040779 · All quality measures
Type
Rural Emergency Hospital
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1144 E Matthews Ave
Jonesboro, AR 72401
Phone 4799687930230

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
St Bernards Healthcare Inc Organization, Jonesboro, AR Corporation, Non-profit Operational/Managerial Control Feb 22, 2019
Five Rivers Medical Center Inc Organization, Pocahontas, AR Non-profit Operational/Managerial Control Jul 1, 1966
Chris Barber Individual Corporate OfficerChairman Jan 1, 2020
Corporate DirectorChairman Jan 1, 2020
Gary Childers Individual Corporate OfficerBoard Member Jan 1, 2020
Randall Barymon Individual Corporate Officer Feb 1, 2024
Corporate Director Feb 1, 2024
W-2 Managing Employee Feb 1, 2024
Operational/Managerial Control Feb 1, 2024
Other Feb 1, 2024
Veronica Melnyk Individual Corporate OfficerBoard Member Jan 1, 2020

Owners & managing parties with NPI records 5

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 4

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

FacilityTypeRoleSince
St. Bernards Five Rivers Medical CenterPocahontas, AR, CCN 04S047 Hospital Operational/Managerial Control (100%) Aug 23, 2007
St. Bernards Five Rivers Medical CenterPocahontas, AR, CCN 04U047 Hospital Operational/Managerial Control (100%) Aug 23, 2007
Five Rivers Medical Center Home HealthPocahontas, AR, CCN 047148 Home health agency Operational/Managerial Control (100%) Jan 1, 2011
St. Benards Five Rivers Medical ClinicPocahontas, AR, CCN 048516 Rural health clinic Operational/Managerial Control Nov 1, 2010

Owned or controlled facilities with NPI records 4

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

Facilities with the same owner 10

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 152

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 152

NPI Registry JSON

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

{
    "created_epoch": "1289952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718755200000",
    "number": "1528360989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 MEDICAL CENTER DR",
            "city": "POCAHONTAS",
            "state": "AR",
            "postal_code": "724559436",
            "telephone_number": "870-892-6000",
            "fax_number": "870-892-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 MEDICAL CENTER DR",
            "city": "POCAHONTAS",
            "state": "AR",
            "postal_code": "724559436",
            "telephone_number": "870-892-6000",
            "fax_number": "870-892-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE RIVERS MEDICAL CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-17",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A",
        "authorized_official_last_name": "BARYMON",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "DEWAYNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "870-892-6200"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ST. BERNARDS FIVE RIVERS MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pocahontas, AR

Sources for this page

Verify at the official NPI Registry.