Jefferson Comprehensive Care System, INC

NPI #1154386597 in Pine Bluff, Arkansas

Provider Information

NPI Number
1154386597
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
Apr 19, 2006
Last Updated
Jul 20, 2007

Practice Location

Address
1101 TENNESSEE ST
ZIP Code
71601-5801
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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