Jefferson Comprehensive Care System, Inc
Jefferson Comprehensive Care System, Inc is a health care provider in Pine Bluff, AR. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location|| 505 Sycamore, Rison, AR 71665, US |
|Practice Location Phone||870-325-6255|
|Practice Location Fax||870-325-6117|
|Legal Business Name||JEFFERSON COMPREHENSIVE CARE SYSTEM, INC|
|Other Organization Name||RISON CENTER|
|Other Organization Name Type||Doing Business As Name|
|Enumeration Date ? ||Jun 27, 2007|
|Last Update Date ? ||Jul 20, 2007|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
Specialties & Licenses of Jefferson Comprehensive Care System, Inc
|Specialty||Provider Type||Specialization||License||License State|
|Clinic/Center||Ambulatory Health Care Facilities||Federally Qualified Health Center (FQHC) |
Legacy Provider IDs of Jefferson Comprehensive Care System, Inc
|Provider Id||Issuer State||Issuer Type||Issuer|
Authorized Official of Jefferson Comprehensive Care System, Inc
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Jefferson Comprehensive Care System, Inc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official ||Mr. Larnell W Davis|
|Authorized Official Title/Position||EXECUTIVE DIRECTOR|
|Authorized Official Phone Number||870-543-2380|