| Organization Name: | ST BERNARDS COMMUNITY HOSPITAL CORP |
| NPI Number: | 1114937174 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BRYAN MATTES (ASSOCIATE ADMINISTRATOR) |
| Mailing Address: | 310 Falls Blvd S Wynne |
| State: | AR US |
| Postal Code: | 723963013 |
| Phone Number: | 8702383300 |
| Fax Number: | 8702387432 |
| NPI Enumeration Date: | 08/09/2006 |
| NPI Last Update Date: | 08/02/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC0060X |
| License Number: | AR4063 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Critical Access |
| Taxonomy Definition: | |