ST BERNARD COMMUNITY HOSPITAL CORPORATION (NPI# 1982615589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982615589 |
| Entity Type | Organization |
| Organization Name | ST BERNARD COMMUNITY HOSPITAL CORPORATION |
| 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 | 2006-08-10 |
| Last Update Date | 2020-09-17 |
| Authorized Official Name | MR. BRYAN MATTES (ASSOCIATE ADMINISTRATOR) |
| Authorized Official Telephone | 8702383300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
AR4063 | AR | Hospitals |
| Y | 275N00000X | Medicare Defined Swing Bed Unit | AR4063 | AR | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | ARKANSAS BLUE CROSS | 1U025 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538179635 | St Bernard Community Hospital Corporation | Home Health | 732 E Eldridge St, Wynne, AR 72396 | 2006-08-09 |
| 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 |
| 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 |
| 1689898140 | St Bernards Community Hospital Corp | General Acute Care Hospital | 310 Falls Blvd S, Wynne, AR 72396-3013 | 2007-04-13 |
| 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 |
| 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 | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932395969 | City of Pocahontas Ar | Medicare Defined Swing Bed Unit | 2801 Medical Center Drive, Pocahontas, AR 72455-9436 | 2007-09-24 |
| 1992865513 | Ozark Health, Inc | Medicare Defined Swing Bed Unit | 2500 Hwy 65 South, Clinton, AR 72031 | 2006-12-12 |
| 1598842643 | Booneville Community Hospital, Inc | Medicare Defined Swing Bed Unit | 880 West Main, Booneville, AR 72927-0290 | 2006-11-01 |
| 1609811827 | Baptist Health | Medicare Defined Swing Bed Unit | 1800 Bypass Road, Heber Springs, AR 72543 | 2006-06-19 |
| 1881635993 | Izard County Medical Center, LLC | Medicare Defined Swing Bed Unit | 61 Grasse St, Calico Rock, AR 72519-0438 | 2006-06-09 |
| 1902862915 | White River Health System, Inc | Medicare Defined Swing Bed Unit | 2106 E. Main St., Mountain View, AR 72560-6439 | 2006-04-26 |
| 1093336026 | Magnolia Regional Health System Inc | Medicare Defined Swing Bed Unit | 101 Hospital Dr, Magnolia, AR 71753-2415 | 2020-04-30 |
| 1538796651 | Eureka Springs Hospital Commission | Medicare Defined Swing Bed Unit | 24 Norris St, Eureka Springs, AR 72632-3541 | 2020-03-26 |
| 1407369390 | Siloam Springs Arkansas Hospital Company LLC | Medicare Defined Swing Bed Unit | 603 N Progress Ave, Siloam Springs, AR 72761-4352 | 2017-11-14 |
| 1649724261 | Baptist Health | Medicare Defined Swing Bed Unit | 1001 Schneider Dr, Malvern, AR 72104-4811 | 2016-08-11 |
| Find all providers with the same taxonomy | ||||
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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.