Jefferson Comprehensive Care System INC

NPI #1053571711 in Pine Bluff, Arkansas

Provider Information

NPI Number
1053571711
Entity Type
Organization
Organization Name
Jefferson Comprehensive Care System INC
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Jun 16, 2008
Last Updated
Jun 16, 2008

Practice Location

Address
1101 TENNSSEE
ZIP Code
71601
Phone
(870) 543-2380

Authorized Official

Name
MR. LARNELL W DAVIS
Title
EXECUTIVE DIRECTOR
Phone
(870) 543-2380

Specialties & Taxonomy Codes

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

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