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DSH040020 ST BERNARDS HOSPITAL INC DBA ST BERNARDS MEDICAL CENTER (Active)
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Main Details
Name
ST BERNARDS HOSPITAL INC DBA ST BERNARDS MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH040020
Medicare Provider Number
040020
Additional Details
Current Program Status
Active
Registration Date
5/16/2006
Participating Start Date
7/1/2006
Participating Approval Date
5/17/2006
Last Recertification Date
9/4/2024
Contacts
Authorizing Official
St Bernards Healthcare
Benjamin F Barylske, VP of Finance / CFO
(870) 207-4565
Primary Contact
St. Bernards Medical Center
James Douglas Welborn, Assistant Vice President of Pharmacy Services
(870) 207-1800
Addresses
Street Address
225 East Washington AVENUE
JONESBORO, AR 72401
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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