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ST BERNARDS HOSPITAL INC NPI 1932204344


NPI Information

NPI: 1932204344
Provider Name: ST BERNARDS HOSPITAL INC

Doing Business As: ST BERNARDS BEHAVIORAL HEALTH UNIT

Classification: Psychiatric Hospital - 283Q00000X
Entity Type: Organization

CLIA Number: 04D0912943

Address:
2712 E JOHNSON AVE
JONESBORO, AR
ZIP 72401
Phone: (870) 932-2800
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ST BERNARDS HOSPITAL INC is a psychiatric hospital in Jonesboro, AR. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. ST BERNARDS HOSPITAL INC NPI is 1932204344. The provider is registered as an organization entity type.
The provider Is Doing Business As St Bernards Behavioral Health Unit.

The provider's business location address is:

2712 E JOHNSON AVE
JONESBORO, AR
ZIP 72401-874
Phone: (870) 932-2800

The provider's authorized official is Chris Barber .
The authorized official title is Hospital Administrator and has the following contact phone number (870) 972-4429.

The CLIA number assigned to this NPI record is 04D0912943 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/13/2006 and was last updated on 7/9/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1283Q00000XPsychiatric HospitalAR3552ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1101693105MEDICAIDARKANSAS
210020OTHERARKANSASBLUE CROSS
3010217302OTHERMISSOURIMEDICAID MISSOURI
410AR307OTHERMISSOURIBLUE CROSS OF MO
5268358OTHERARKANSASBLACK LUNG

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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