ST. BERNARDS INTERNAL MEDICINE RESIDENCY CLINIC
NPI 1245771831
Internal Medicine in Jonesboro, AR

Q: What is St. Bernards Inc.'s NPI number?

The NPI number for St. Bernards Inc. is 1245771831. It was assigned to this organization in the NPPES registry on March 15, 2017. The provider is doing business as St. Bernards Internal Medicine Residency Clinic.

Q: What is St. Bernards Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for St. Bernards Inc. was last updated on July 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 15, 2017CLIA Certified · 8 labs

300 CARSON ST, SUITE A, JONESBORO, AR 72401(870) 910-7799 Get Directions Write a Review

NPPES record last updated: July 20, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 20, 2020, Mar 13, 2020, Mar 15, 2017 (3 updates tracked since 2017).

On this page

About St. Bernards Internal Medicine Residency Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST. BERNARDS INTERNAL MEDICINE RESIDENCY CLINIC (NPI 1245771831) is a healthcare organization registered as an internal medicine in Jonesboro, Arkansas and active in the NPI registry since March 2017. The organization holds 8 active CLIA laboratory certificates and lists Benjamin Barylske, Cfo, as its authorized official.

NPPES Registry Identity

NPI1245771831

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameST. BERNARDS INC.

Location Address300 CARSON ST, SUITE AJonesboro, AR 72401-3104

Mailing Address225 E Washington AveJonesboro, AR 72401-3111 · (870) 207-7555 · Fax (870) 336-5083

Phone(870) 910-7799

Organization SubpartNo

Authorized OfficialBenjamin BarylskeCfo · (870) 207-4565

Enumeration DateMarch 15, 2017

Last NPPES UpdateJuly 20, 20203 updates tracked since enumeration

NPPES CertifiedJuly 20, 2020

✔ NPI 1245771831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

300 CARSON ST, Jonesboro, AR 72401

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Other Names 1

Doing Business AsSt. Bernards Internal Medicine Residency Clinic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 9

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 04D0682130

St Bernards Medical Center - Carson Street · Jonesboro, AR

Active · expires Jul 5, 2028

CLIA Number04D0682130

Laboratory TypePhysician Office

Certificate Effective DateJuly 6, 2026

Certificate Expiration DateJuly 5, 2028

Laboratory DirectorDr. Elizabeth Sales

Laboratory Phone(870) 932-1198

Laboratory LocationSt Bernards Medical Center - Carson Street300 Carson Street, Jonesboro, AR 72401

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 04D0049895

St Bernards Medical Center - Laboratory · Jonesboro, AR

Active · expires Feb 8, 2027

CLIA Number04D0049895

Laboratory TypeHospital

Certificate Effective DateFebruary 9, 2025

Certificate Expiration DateFebruary 8, 2027

Laboratory DirectorDr. Elizabeth W. Sales

Laboratory Phone(870) 972-4115

Laboratory LocationSt Bernards Medical Center - Laboratory225 E Washington Ave, Jonesboro, AR 72401

CLIA data matches this NPI record on: Address Name

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 04D2307326

St Bernards Medical Center Heart & Vascular Ct · Jonesboro, AR

Active · expires Jul 7, 2028

CLIA Number04D2307326

Laboratory TypeAncillary Testing Site In Health Care Center

Certificate Effective DateJuly 8, 2026

Certificate Expiration DateJuly 7, 2028

Laboratory DirectorDr. Elizabeth W. Sales

Laboratory Phone(870) 935-6729

Laboratory LocationSt Bernards Medical Center Heart & Vascular Ct201 E Oak Ave, Jonesboro, AR 72401

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 04D2307361

St Bernards Medical Center Cardiac Rehabilitation Program · Jonesboro, AR

Active · expires Jul 7, 2028

CLIA Number04D2307361

Laboratory TypeAncillary Testing Site In Health Care Center

Certificate Effective DateJuly 8, 2026

Certificate Expiration DateJuly 7, 2028

Laboratory DirectorDr. Elizabeth W. Sales

Laboratory Phone(870) 207-7750

Laboratory LocationSt Bernards Medical Center Cardiac Rehabilitation Program1416 E Matthews Ave, Jonesboro, AR 72401

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 04D0912943

St Bernards Medical Center St Bernards Hospital · Jonesboro, AR

Active · expires Mar 14, 2028

CLIA Number04D0912943

Laboratory TypeOther

Certificate Effective DateMarch 15, 2026

Certificate Expiration DateMarch 14, 2028

Laboratory DirectorElizabeth Sales

Laboratory Phone(870) 932-2800

Laboratory LocationSt Bernards Medical Center St Bernards Hospital2712 E Johnson Ave, Jonesboro, AR 72401

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 04D1041985

St Bernards Imaging Center · Jonesboro, AR

Active · expires Feb 25, 2027

CLIA Number04D1041985

Laboratory TypeOther

Certificate Effective DateFebruary 26, 2025

Certificate Expiration DateFebruary 25, 2027

Laboratory DirectorElizabeth Sales

Laboratory Phone(870) 336-4800

Laboratory LocationSt Bernards Imaging Center1144 East Matthews, Jonesboro, AR 72401

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WILLIAM ALBERTO MUNIZ VAZQUEZ MD

Student in an Organized Health Care Education/Training Program