NPIMap

Organization Active NPI

St Bernards Hospital Inc

Doing business as St Bernards Medical Center

  • General Acute Care Hospital
  • Jonesboro, AR
National Provider Identifier
1922043686
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
Jun 18, 2006
Last updated
Jul 8, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
ST BERNARDS HEALTH CAREAs reported in NPPES

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
Mr. Chris Barber
Title
Ceo
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 6

IdentifierTypeStateIssuer
BLUE CROSS OF MOOtherMO10AR307
101693105MedicaidAR
268358OtherARBLACK LUNG
010327302MedicaidMO
10020OtherARBLUE CROSS
29280OtherWAWASHINGTON IND. ST. FUND

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
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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1922043686. Details of each certification follow.

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
CorporationNon-profit
Incorporated
Nov 1, 1973 in AR
Enrollment address
225 E Washington Ave
Jonesboro, AR 72401-3111
Main/Primary Hospital Location
Hospital subgroups
General, Acute care, Psychiatric unit, Other

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

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.

Care Compare: Hospital

Medicare Care Compare
Listed as
St Bernards Medical CenterCCN 040020 · All quality measures
Overall star rating
1 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: cokoye@stbcancercare.direct.varian.com
  • Direct secure messaging: jlynch@stbcancercare.direct.varian.com

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Anne Ferricher Individual Corporate Director Mar 10, 2014
Brian Hyneman Individual Corporate Director Oct 1, 2011
Benjamin Barylske Individual Corporate DirectorVP Finance / Cfo Oct 2, 2018
St Bernards Healthcare Inc Organization, Jonesboro, AR Corporation, Non-profit Operational/Managerial Control May 7, 1999
John C Freeman Individual Corporate Director Jul 1, 2006
Steve E Cox Individual Corporate Director Jul 1, 2006
Chris Barber Individual Corporate Director Apr 28, 2005
W-2 Managing Employee Apr 28, 2005
Rick M Rorex Individual Corporate Director Jul 1, 2006
Jamie Burk Individual Corporate DirectorDirector of Revenue Cycle Oct 1, 2022
Jamie Carter Individual Corporate DirectorAvp Revenue Cycle Jul 1, 2019
Olivetan Benedictine Sisters Inc Organization, Jonesboro, AR Operational/Managerial Control Jun 16, 1962
Alan G Patteson Individual Corporate Director Jul 1, 2006
Randy McNeil Individual Corporate Director Apr 30, 2015
John Niel Crowson Individual Corporate Director Jul 1, 2006

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.

Facilities with the same owner 10

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

Practitioners & affiliated clinicians

Practitioners 20

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 20

Affiliated clinicians 715

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

View all 715

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594166400000",
    "number": "1922043686",
    "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": "YES",
        "parent_organization_legal_business_name": "ST BERNARDS HEALTH CARE",
        "enumeration_date": "2006-06-18",
        "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": "CEO",
        "authorized_official_telephone_number": "870-972-4429",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "AR",
            "license": "AR4053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "10AR307",
            "identifier": "BLUE CROSS OF MO",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101693105",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG",
            "identifier": "268358",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010327302",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "10020",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON IND. ST. FUND",
            "identifier": "29280",
            "state": "WA"
        }
    ],
    "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.