Jefferson Comprehensive Care System, INC

NPI #1124224928 in Redfield, Arkansas

Provider Information

NPI Number
1124224928
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
Jun 27, 2007
Last Updated
Jul 20, 2007

Practice Location

Address
113 W RIVER RD
ZIP Code
72132
Phone
(501) 397-2261

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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