NPIMap

Organization Active NPI

St Bernard Community Hospital Corporation

  • Critical Access Hospital
  • Wynne, AR
National Provider Identifier
1962410183
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
AR4063 Issued in AR
Legal business name
ST BERNARD COMMUNITY HOSPITAL CORPORATION
Practice address
310 Falls Blvd S
Wynne, AR 72396-3013
Phone
(870) 238-3300
Fax
(870) 238-7432
NPI assigned
Aug 3, 2006
Last updated
Sep 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Authorized official

Name
Bryan Scott Mattes
Title
Associate Administrator
Phone
(870) 208-2145

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X AR4063 AR Primary

Addresses

Primary practice location

310 Falls Blvd S
Wynne, AR 72396-3013

Mailing address

PO Box 590
Wynne, AR 72396-0590
Phone (870) 238-3300

Other practice location 1

1858 Falls Blvd N
Wynne, AR 72396-4026
Phone (870) 238-3300

Other identifiers 3

IdentifierTypeStateIssuer
142757105MedicaidAR
11307OtherARBLUE CROSS
770086605OtherARARKANSAS BREASTCARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Cross.Ridge@cr.hin.us Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071010000024 AR Part A Provider - Critical Access Hospital 7810897485 Receives reassigned benefits from 26 practitioners
Practice locations: Wynne, AR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1962410183. Details of each certification follow.

Hospital certification: CCN 041307

Legal name
ST BERNARD COMMUNITY HOSPITAL CORPORATION
Doing business as
CROSSRIDGE COMMUNITY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Jul 1, 2000
Last certification
Dec 7, 2023
Beds
25
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Jun 29, 1999 in AR
Enrollment address
310 South Falls Blvd
Wynne, AR 72396-3013
Other Hospital Practice Location

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

Other NPIs with the same Medicare PAC ID 3

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Crossridge Community HospitalCCN 041307 · All quality measures
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
St Bernard Comm Hosp Corp5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 3

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 5% Or Greater Direct Ownership Interest Jul 1, 1999
Bryan Mattes Individual Corporate Director Jun 29, 1999
W-2 Managing EmployeeAssociate Administrator Jun 23, 2002
Henry Garrett Morgan Individual Corporate DirectorAdministrator Oct 1, 2024
W-2 Managing EmployeeAd; Oct 1, 2024

Facilities with the same owner 10

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

Practitioners & affiliated clinicians

Practitioners 27

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 27

Affiliated clinicians 116

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

View all 116

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788998400000",
    "number": "1962410183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 590",
            "city": "WYNNE",
            "state": "AR",
            "postal_code": "723960590",
            "telephone_number": "870-238-3300",
            "fax_number": "870-238-7432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 FALLS BLVD S",
            "city": "WYNNE",
            "state": "AR",
            "postal_code": "723963013",
            "telephone_number": "870-238-3300",
            "fax_number": "870-238-7432"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1858 Falls Blvd N",
            "address_purpose": "LOCATION",
            "city": "Wynne",
            "state": "AR",
            "postal_code": "723964026",
            "country_code": "US",
            "telephone_number": "870-238-3300",
            "fax_number": "870-238-7432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ST BERNARD COMMUNITY HOSPITAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A",
        "authorized_official_last_name": "MATTES",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "ASSOCIATE ADMINISTRATOR",
        "authorized_official_telephone_number": "870-208-2145"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "AR",
            "license": "AR4063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142757105",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "11307",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS BREASTCARE",
            "identifier": "770086605",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Cross.Ridge@cr.hin.us",
            "affiliation": "N",
            "endpointDescription": "direct email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "direct email",
            "address_1": "310 Falls Blvd S",
            "city": "Wynne",
            "state": "AR",
            "country_code": "US",
            "postal_code": "723963013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wynne, AR

Sources for this page

Verify at the official NPI Registry.