Jefferson Comprehensive Care System, INC

NPI #1003353111 in North Little Rock, Arkansas

Provider Information

NPI Number
1003353111
Entity Type
Organization
Organization Name
Jefferson Comprehensive Care System, INC
Subpart
Yes (part of a larger organization)
Parent Organization
JEFFERSON COMPREHENSIVE CARE SYSTEM, INC
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Jan 26, 2017
Last Updated
Jan 26, 2017

Practice Location

Address
2525 WILLOW ST
Address 2
SUITE # 1
ZIP Code
72114-2213
Phone
(870) 543-2380

Authorized Official

Name
MS. SANDRA BROWN
Title
CEO
Phone
(870) 543-2300

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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