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Organization

ST BERNARDS HOSPITAL INC

Active
Other names
St Bernards Dialysis
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BENJAMIN BARYLSKE (CFO)
(870) 972-4565
Entity
Organization

Contact information

Practice address
225 E WASHINGTON AVE, JONESBORO, AR 72401-3111
(870) 972-4470
(870) 974-5084
Mailing address
225 E WASHINGTON AVE, JONESBORO, AR 72401-3111
(870) 972-4470
(870) 974-5084

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
01
12303
BLUE CROSS
AR
Enumeration date
07/24/2006
Last updated
07/20/2020
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