ST BERNARDS PHYSICIAN CLINICS INC NPI 1275204307

NPI Information

NPI: 1275204307
Provider Name: ST BERNARDS PHYSICIAN CLINICS INC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 04D2072194

Address:
415 E MATTHEWS AVE
JONESBORO, AR
ZIP 72401
Phone: (870) 972-8181
Get Directions

ST BERNARDS PHYSICIAN CLINICS INC is a primary care clinic center in Jonesboro, AR. ST BERNARDS PHYSICIAN CLINICS INC NPI is 1275204307. The provider is registered as an organization entity type.

The provider's business location address is:

415 E MATTHEWS AVE
JONESBORO, AR
ZIP 72401-142
Phone: (870) 972-8181
Fax: (870) 935-8749

The provider's authorized official is John Lieblong .
The authorized official title is President and has the following contact phone number (870) 932-7024.

The CLIA number assigned to this NPI record is 04D2072194 - other - reference lab with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 9/28/2021 and was last updated on 6/10/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care			Yes

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »