St Bernards Hospital Inc
Organization Active NPI General Acute Care Hospital · Jonesboro, AR
NPI 1922043686 · NPPES record last updated Jul 8, 2020
Key facts
- NPI
- 1922043686
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- License
- AR4053 (AR)
- Legal business name
- ST BERNARDS HOSPITAL INC
- Practice address
- 225 E Washington Ave
Jonesboro, AR 72401-3111 - Phone
- (870) 972-4100
- Fax
- (870) 974-5112
- NPI assigned
- Jun 18, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- ST BERNARDS HEALTH CARE
Authorized official
- Name
- Mr. Chris Barber
- Title
- Ceo
- Phone
- (870) 972-4429
Owned or controlled facilities with NPI records 1
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 9
Related certifications (CCN) 1
Facilities with the same owner 10
Practitioners 189
-
Damian Allen, M.D.
-
Joshua Barnett, M.D.
-
Gene Collins, M.D.
-
Amirtharaj Dhanaraja, M.D.
-
Emmanuel Macdonald, M.D.
-
Utibe John Ndebbio, MBBCH
-
Joseph Sanders, MD
-
Abhijit Shivkumar, M.D
-
Ahmed Muaaz Umer, MBBS
-
Richard White, D.O.
-
Eudy Rocio Bosley, M.D.
-
Kyle Brandon Knight, D.O
-
Leslie Potter, D.O.
-
Danny Vo Tran, DO
-
Ahmad Al-Hindi, MD
-
Tiffany Alexander, M.D.
-
Mark Allard, M.D.
-
Tochi M. Amagwula, M.D.
-
Megan Maureen Anderson, APRN, PMHNP-BC
-
Maximiliano Arroyo, M.D.
Affiliated clinicians 715
-
Isam Ali Abdel-Karim, M.D.
-
Christina Adams, RNP
-
Ahmed Salah Ahmed, M.D.
-
Hiba Zara Ahmed, M.D., M.P.H.
-
Fauzia Akbary, M.D.
-
Ammar Al-Hallak, M.D.
-
Ahmad Al-Hindi, MD
-
Daisy V Alapat, MD
-
Chasity C Alcazar, CRNA
-
Mohammed Alhajji, M.D
-
Mark Allard, M.D.
-
Damian Allen, M.D.
-
Kristi Renee Allen, A.N.P.
-
Taylor Alloway, M.D.
-
Amanda Michelle Anderson, APRN, FNP-C
-
Megan Maureen Anderson, APRN, PMHNP-BC
-
Mahesh Aradhya, MD
-
Maximiliano Arroyo, M.D.
-
Connie Kay Ash, APRN
Medicare Care Compare: Hospital
- Listed as
- St Bernards Medical Center
- Overall star rating
- ★☆☆☆☆ 1 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AR
Hospital certification: CCN 040020
- Legal name
- ST BERNARDS HOSPITAL INC.
- Doing business as
- ST BERNARDS MEDICAL CENTER
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Oct 11, 2024
- Beds
- 440
- Ownership / control type
- Private (not for profit)
- Organization structure
- Corporation · Non-profit
- Incorporated
- Nov 1, 1973 in AR
- Enrollment address
- 225 E Washington Ave
Jonesboro, AR 72401-3111 - Hospital subgroups
- General, Acute care, Psychiatric unit, Other
All disclosed owners & managing parties 14
| Name | Role | Since | Share |
|---|---|---|---|
| Anne Ferricher |
Corporate Director | Mar 10, 2014 | |
| Brian Hyneman |
Corporate Director | Oct 1, 2011 | |
| Benjamin Barylske |
Corporate Director |
Oct 2, 2018 | |
| St Bernards Healthcare Inc |
Operational/Managerial Control | May 7, 1999 | |
| John C Freeman |
Corporate Director | Jul 1, 2006 | |
| Steve E Cox |
Corporate Director | Jul 1, 2006 | |
| Chris Barber |
Corporate Director | Apr 28, 2005 | |
| W-2 Managing Employee | Apr 28, 2005 | ||
| Rick M Rorex |
Corporate Director | Jul 1, 2006 | |
| Jamie Burk |
Corporate Director |
Oct 1, 2022 | |
| Jamie Carter |
Corporate Director |
Jul 1, 2019 | |
| Olivetan Benedictine Sisters Inc |
Operational/Managerial Control | Jun 16, 1962 | |
| Alan G Patteson |
Corporate Director | Jul 1, 2006 | |
| Randy McNeil |
Corporate Director | Apr 30, 2015 | |
| John Niel Crowson |
Corporate Director | Jul 1, 2006 |
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Encompass Health Rehabilitation Hospital of Jonesboro |
Hospital | 5% Or Greater Direct Ownership Interest (50%) | Feb 1, 2013 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050121000843 | AR | Part B Supplier - Clinic/Group Practice | 0941105480 |
Receives reassigned benefits from 116 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Jonesboro, AR |
| O20070424000292 | AR | Part a Provider - Hospital | 0941105480 | Practice locations: Osceola, AR; Wynne, AR; Walnut Ridge, AR; Pocahontas, AR; Paragould, AR; Manila, AR; Jonesboro, AR |
National Provider Directory
Interoperability endpoints
- jlynch@stbcancercare.direct.varian.com
- cokoye@stbcancercare.direct.varian.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | AR4053 | AR | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 268358 | Other | AR | BLACK LUNG |
| BLUE CROSS OF MO | Other | MO | 10AR307 |
| 10020 | Other | AR | BLUE CROSS |
| 101693105 | Medicaid | AR | |
| 010327302 | Medicaid | MO | |
| 29280 | Other | WA | WASHINGTON IND. ST. FUND |
Other names
- St Bernards Medical Center
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | St.Bernards@stb.hin.us |
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All providers in Jonesboro, AR · General Acute Care Hospital in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.