Organization
ST BERNARD COMMUNITY HOSPITAL CORPORATION
Active
Other names
CrossRidge Community Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRYAN MATTES (ASSOCIATE ADMINISTRATOR)
(870) 238-3300
Entity
Organization
Contact information
Practice address
732 E ELDRIDGE ST, WYNNE, AR 72396
(870) 238-3300
(870) 238-7432
Mailing address
PO BOX 590, WYNNE, AR 72396-0590
(870) 238-3300
(870) 238-7432
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
AR3891
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142758514
—
AR
05
—
143518753
—
AR
05
—
145227754
—
AR
01
—
17048
BLUE CROSS HOME HEALTH
AR
Enumeration date
08/09/2006
Last updated
09/17/2020
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