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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.

physician-icon Basic Information

Practice Location 505 Sycamore, Rison, AR 71665, US
Practice Location Phone870-325-6255
Practice Location Fax870-325-6117
Legal Business NameJEFFERSON COMPREHENSIVE CARE SYSTEM, INC
Other Organization NameRISON CENTER
Other Organization Name TypeDoing Business As Name
NPI ?1396941191
Entity TypeOrganization
Enumeration Date ? Jun 27, 2007
Last Update Date ? Jul 20, 2007
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Jefferson Comprehensive Care System, Inc

SpecialtySpecializationLicenseLicense State
Clinic/CenterFederally Qualified Health Center (FQHC)

legacy-id-icon Legacy Provider IDs of Jefferson Comprehensive Care System, Inc

Provider IdIssuer StateIssuer TypeIssuer
122634749ArkansasMedicaid

official-icon 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/PositionEXECUTIVE DIRECTOR
Authorized Official Phone Number870-543-2380