Organization
ST BERNARDS HOSPITAL INC
Active
Other names
St Bernards Dialysis Wynne
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENJAMIN BARYLSKE (CFO)
(870) 972-4565
Entity
Organization
Contact information
Practice address
310 FALLS BLVD S, WYNNE, AR 72396-3013
(870) 238-3300
Mailing address
PO BOX 1713, JONESBORO, AR 72403-1713
(870) 972-4172
(870) 933-9666
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
AR4053
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101693105
—
AR
Enumeration date
07/24/2006
Last updated
07/20/2020
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