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General NPI Number Information
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NPI Number | 1023117322
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Entity Type | Organization
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Legal Business Name | ST BERNARDS HOSPITAL INC
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 07/08/2020
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Provider Practice Location Address
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Address Line | 900 W MONROE AVE
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City | JONESBORO
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State | AR
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Zip | 72401-2651
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Country | US
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Telephone | 870-802-5120
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Fax | 870-268-8667
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Provider Business Mailing Address
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Address Line | 225 E WASHINGTON AVE
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City | JONESBORO
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State | AR
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Zip | 72401-3111
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Country | US
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Telephone | 870-972-4429
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Fax |
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Authorized Official
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Title or Position | HOSPITAL ADMINISTRATOR
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Name | CHRIS BARBER
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Credential |
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Telephone | 870-972-4429
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | AR4053
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License Number State | AR
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