ST. BERNARDS HOSPITAL INC (NPI# 1528451648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528451648 |
| Entity Type | Organization |
| Organization Name | ST. BERNARDS HOSPITAL INC |
| Other Organization Name | ST. BERNARDS MEDICAL |
| Practice Address |
225 E Washington Ave Jonesboro AR 72401-3111 |
| Mailing Address |
Po Box 1713 Jonesboro AR 72403-1713 |
| Practice Telephone | 8702077222 |
| Mailing Telephone | 8702077222 |
| Mailing Fax Number | 8702070504 |
| Enumeration Date | 2015-03-13 |
| Last Update Date | 2020-07-20 |
| Authorized Official Name | MR. BENJAMIN BARYLSKE (CFO) |
| Authorized Official Telephone | 8702074565 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
HP00262 | AR | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 101693105 | 05 |
| Other Name | Type Code |
|---|---|
| St. Bernards Medical | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538268982 | St. Bernards Hospital Inc | General Acute Care Hospital | 900 W Monroe Ave Ste B, Jonesboro, AR 72401-2651 | 2006-09-22 |
| 1891178828 | St. Bernards Hospital Inc | Family Medicine | 303 E Matthews Ave, Suite 202, Jonesboro, AR 72401-3150 | 2015-07-08 |
| Street Address |
225 E WASHINGTON AVE |
| City | JONESBORO |
| State | AR |
| Zip Code | 72401-3111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922043686 | St Bernards Hospital Inc | General Acute Care Hospital | 225 E Washington Ave, Jonesboro, AR 72401-3111 | 2006-06-18 |
| 1710588462 | Elizabeth Jean Mcquay | Nurse Practitioner | 225 E Washington Ave, Jonesboro, AR 72401-3111 | 2020-11-07 |
| 1144836347 | Ashley Featherston | Clinical Nurse Specialist | 225 E Washington Ave, Jonesboro, AR 72401-3111 | 2020-09-22 |
| 1326656513 | Heather Porterfield | Clinical Nurse Specialist | 225 E Washington Ave, Jonesboro, AR 72401-3111 | 2020-07-14 |
| 1184250805 | Ashley Elizabeth Mclean | Physician Assistant | 225 E Washington Ave, Jonesboro, AR 72401-3111 | 2020-03-13 |
| 1619427382 | Volha Liaukovich | Internal Medicine | 225 E Washington Ave, Jonesboro, AR 72401-3111 | 2016-10-06 |
| 1982058780 | Danny Vo Tran | Psychiatry & Neurology | 225 E Washington Ave, Jonesboro, AR 72401-3111 | 2016-04-18 |
| 1780065599 | Amr El-aawar | Hospitalist | 225 E Washington Ave, Jonesboro, AR 72401-3111 | 2015-06-17 |
| 1396053096 | St Bernards Hospital Inc. | General Acute Care Hospital | 225 E Washington Ave, Jonesboro, AR 72401-3111 | 2010-09-16 |
| 1932417821 | St Bernards Inc | General Acute Care Hospital | 225 E Washington Ave, Jonesboro, AR 72401-3111 | 2010-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453368 | Mariah Kay Jackson | Physical Therapy Assistant | Creative Kids Therapy, Jonesboro, AR 72401 | 2020-10-05 |
| 1821606005 | Kafayat Folake Iyanda | Specialist/Technologist | 2105 East Aggie Rd, Jonesboro, AR 72401 | 2020-07-14 |
| 1053936310 | Josh Roberts | Physical Therapist | 1010 South Main St, Jonesboro, AR 72401 | 2020-06-12 |
| 1003449687 | Amy Mary Elizabeth Daughhetee | Nurse Practitioner | 225 East Washington Ave, Jonesboro, AR 72401 | 2020-02-21 |
| 1871126698 | Sarah Lowtharp | Clinical Nurse Specialist | 225 East Washington Ave., Jonesboro, AR 72401 | 2020-02-20 |
| 1891335519 | Mallori Miller | Case Manager/Care Coordinator | 837 Willett Rd, Jonesboro, AR 72401 | 2020-01-10 |
| 1265073704 | Michael Bruce Collie | Registered Nurse | 837 Williett Road, Jonesboro, AR 72401 | 2019-10-07 |
| 1285283432 | Jonesboro Ambulatory Surgery Center, LLC | Clinic/Center | 1710 Mayfield Dr, Jonesboro, AR 72401 | 2019-09-10 |
| 1841843943 | Destinee Katrina Cole | Specialist/Technologist | 2015 Aggie Rd, Jonesboro, AR 72401 | 2019-07-18 |
| 1699250472 | Jessica Marie Mcnatt | Occupational Therapist | 907 County Road 753, Jonesboro, AR 72401 | 2018-09-27 |
| Find all providers in zip 72401 | ||||
| Taxonomy Code | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730173600 | Morrisons Properties Inc | Pharmacy | 353 Cash Rd Sw, Camden, AR 71701-3704 | 2005-09-07 |
| 1770963563 | Burnsrx.llc | Pharmacy | 270 Main St, Mammoth Spring, AR 72554-7466 | 2015-06-05 |
| 1508021619 | White River Rural Health Center, Inc. | Pharmacy | 1009 Highway 18, Ste B, Lake City, AR 72437-9622 | 2008-07-29 |
| 1225053986 | C&w Pharmacy Inc | Pharmacy | 10 Hospital Dr, Morrilton, AR 72110-4510 | 2006-07-13 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.