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ST BERNARD COMMUNITY HOSPITAL CORPORATION NPI 1538179635


NPI Information

NPI: 1538179635
Provider Name: ST BERNARD COMMUNITY HOSPITAL CORPORATION

Doing Business As: CROSSRIDGE COMMUNITY HOSPITAL

Classification: Home Health - 251E00000X
Entity Type: Organization

CLIA Number: 04D0467885

Address:
732 E ELDRIDGE ST
WYNNE, AR
ZIP 72396
Phone: (870) 238-3300
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ST BERNARD COMMUNITY HOSPITAL CORPORATION is a home health in Wynne, AR. The provider is a public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. ST BERNARD COMMUNITY HOSPITAL CORPORATION NPI is 1538179635. The provider is registered as an organization entity type.
The provider Is Doing Business As Crossridge Community Hospital.

The provider's business location address is:

732 E ELDRIDGE ST
WYNNE, AR
ZIP 72396
Phone: (870) 238-3300
Fax: (870) 238-7432

The provider's authorized official is Bryan Mattes .
The authorized official title is Associate Administrator and has the following contact phone number (870) 238-3300.

The CLIA number assigned to this NPI record is 04D0467885 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 8/9/2006 and was last updated on 9/17/2020.


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
1251E00000XHome HealthAR3891ARKANSASYes

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
117048OTHERARKANSASBLUE CROSS HOME HEALTH
2142758514MEDICAIDARKANSAS
3143518753MEDICAIDARKANSAS
4145227754MEDICAIDARKANSAS

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: 11/14/2023

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.