National Provider Identifier Database

JEFFERSON COMPREHENSIVE CARE SYSTEM INC
Federally Qualified Health Center (FQHC)

A Federally Qualified Health Center (FQHC) is a community-based organization that provides comprehensive primary care and preventive care, including health, oral, and mental health/substance abuse services to persons of all ages, regardless of their ability to pay or health insurance status.


Contact Information

JEFFERSON COMPREHENSIVE CARE SYSTEM INC
1101 TENNSSEE
PINE BLUFF, AR71601
Phone: 870-543-2380
Fax: 870-535-4716
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X

* Indicates primary specialty

NPI Profile & details for JEFFERSON COMPREHENSIVE CARE SYSTEM INC

NPI Number 1053571711
Legal business name
LBN
JEFFERSON COMPREHENSIVE CARE SYSTEM INC
Authorized official LARNELL DAVIS - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 06/16/2008
Last updated 06/16/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • AR Medicaid: 122636741

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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