ST BERNARDS COMMUNITY HOSPITAL CORP (NPI# 1689898140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689898140 |
| Entity Type | Organization |
| Organization Name | ST BERNARDS COMMUNITY HOSPITAL CORP |
| Other Organization Name | CROSSRIDGE COMMUNITY HOSPITAL |
| Practice Address |
310 Falls Blvd S Wynne AR 72396-3013 |
| Practice Telephone | 8702383300 |
| Practice Fax Number | 8702387432 |
| Mailing Telephone | 8702383300 |
| Mailing Fax Number | 8702387432 |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2020-09-17 |
| Authorized Official Name | BRYAN MATTES (ASSOCIATE ADMINISTRATOR) |
| Authorized Official Telephone | 8702383300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
AR4063 | AR | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 120461702 | 05 | |
| AR | BLUE CROSS CRNA | 57861 | 01 |
| Other Name | Type Code |
|---|---|
| Crossridge Community Hospital | Doing Business As Name - Organization |
| Street Address |
310 FALLS BLVD S |
| City | WYNNE |
| State | AR |
| Zip Code | 72396-3013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043232812 | St Bernards Hospital Inc | Clinic/Center | 310 Falls Blvd S, Wynne, AR 72396-3013 | 2006-07-24 |
| 1184945826 | Robert Dunn Brawner Jr. | Physical Therapist | 310 Falls Blvd S, Wynne, AR 72396-3013 | 2010-06-17 |
| 1356532907 | William H Huffman | Physical Therapist | 310 Falls Blvd S, Wynne, AR 72396-3013 | 2007-08-08 |
| 1407972193 | Sushma C Parekh | Radiology | 310 Falls Blvd S, Wynne, AR 72396-3013 | 2007-03-22 |
| 1447398698 | Stacie Patterson | Pharmacist | 310 Falls Blvd S, Wynne, AR 72396-3013 | 2007-02-01 |
| 1568542603 | Garnett Julian Leonard | Personal Emergency Response Attendant | 310 Falls Blvd S, Wynne, AR 72396-3013 | 2006-10-16 |
| 1194815456 | Ulf K Jensen Md PC | Emergency Medicine | 310 Falls Blvd S, Wynne, AR 72396-3013 | 2006-10-14 |
| 1194813816 | Coopers Anesthesia Services | General Acute Care Hospital | 310 Falls Blvd S, Wynne, AR 72396-3013 | 2006-10-10 |
| 1982615589 | St Bernard Community Hospital Corporation | General Acute Care Hospital | 310 Falls Blvd S, Wynne, AR 72396-3013 | 2006-08-10 |
| 1114937174 | St Bernard Community Hospital Corporation | General Acute Care Hospital | 310 Falls Blvd S, Wynne, AR 72396-3013 | 2006-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962918813 | David Makool | Occupational Therapy Assistant | 2000 Gogbill Road, Wynne, AR 72396 | 2017-12-14 |
| 1912425554 | Barbara Ann Burgess | Case Manager/Care Coordinator | 661 Addison, Wynne, AR 72396 | 2017-09-05 |
| 1518481308 | Tyler Leigh Shumard | Physical Therapy Assistant | 128 County Road 145, Wynne, AR 72396 | 2017-08-02 |
| 1588957476 | Northeast Arkansas Community Mental Health Center | Counselor | 661 Addison Dr., Wynne, AR 72396 | 2011-05-25 |
| 1417106493 | Katherine Danielle Calhoun | Dietitian, Registered | 1013 Bridges Ave East, Wynne, AR 72396 | 2008-09-15 |
| 1053531319 | George Scott Puryear, Dds, Pa | Dentist | 715 East Eldrdige Avenue, Wynne, AR 72396 | 2007-04-27 |
| 1730245465 | Marilyn J Cullum | Counselor | 1742 Falls Blvd. Suite 5, The Logan Center, Wynne, AR 72396 | 2006-12-28 |
| 1770655185 | Robert Walton Bassham | Dentist | 669 Addison Drive, Wynne, AR 72396 | 2006-11-14 |
| 1073683827 | George Scott Puryear Jr. | Dentist | 715 E. Eldridge Ave, Wynne, AR 72396 | 2006-11-09 |
| 1194809517 | Richard Keeter Toland | Dentist | 2100 North Killough, Wynne, AR 72396 | 2006-10-24 |
| Find all providers in zip 72396 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194813816 | Coopers Anesthesia Services | General Acute Care Hospital | 310 Falls Blvd S, Wynne, AR 72396-3013 | 2006-10-10 |
| 1982615589 | St Bernard Community Hospital Corporation | General Acute Care Hospital | 310 Falls Blvd S, Wynne, AR 72396-3013 | 2006-08-10 |
| 1114937174 | St Bernard Community Hospital Corporation | General Acute Care Hospital | 310 Falls Blvd S, Wynne, AR 72396-3013 | 2006-08-09 |
| 1962410183 | St Bernard Community Hospital Corporation | General Acute Care Hospital | 310 Falls Blvd S, Wynne, AR 72396-3013 | 2006-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235453192 | Chicot Memorial Medical Center | General Acute Care Hospital | 2729 Hwy 65 & 82 S, Lake Village, AR 71653-6136 | 2010-03-22 |
| 1063571107 | Chicot Memorial Hospital | General Acute Care Hospital | 2729 Hwy 65 and 82 South, Lake Village, AR 71653 | 2006-12-06 |
| 1265448468 | Cavhs | General Acute Care Hospital | 2307 Red Bud Cv, Benton, AR 72015-4779 | 2006-07-31 |
| 1013941806 | Booneville Community Hospital | General Acute Care Hospital | 880 W. Main St., Booneville, AR 72927 | 2006-07-10 |
| 1295767689 | Delta Memorial Hospital | General Acute Care Hospital | 811 Hwy 65 South, Dumas, AR 71639 | 2006-07-07 |
| 1497701973 | Chicot Memorial Hospital | General Acute Care Hospital | 2729 Hwy 65 & 82 South, Lake Village, AR 71653 | 2006-05-26 |
| 1457306326 | Mercy Hospital Berryville | General Acute Care Hospital | 214 Carter St, Berryville, AR 72616-4303 | 2006-05-22 |
| 1417913419 | White River Health System, Inc. | General Acute Care Hospital | 2106 E Main St, Mountain View, AR 72560-6439 | 2006-04-26 |
| 1912978875 | Mercy Hospital Waldron | General Acute Care Hospital | 1341 W 6th St, Waldron, AR 72958-7642 | 2006-01-30 |
| 1275504128 | Mercy Hospital Ozark | General Acute Care Hospital | 801 W River St, Ozark, AR 72949-3023 | 2006-01-30 |
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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.