National Provider Identifier Database

JEFFERSON REGIONAL CANCER CENTER
Oncology

An entity, facility, or distinct part of a facility providing diagnostic, treatment and prescriptive services related to cancerous conditions. Services include chemotherapy infusions and monitoring of implanted chemotherapeutic agents.


Contact Information

JEFFERSON REGIONAL CANCER CENTER
1609 W 40TH AVE STE 205
PINE BLUFF, AR71603-6367
Phone: 870-534-1188
Fax: 870-541-4297
Website:
Specialty Taxonomy Code
* Oncology 261QX0200X

* Indicates primary specialty

NPI Profile & details for JEFFERSON REGIONAL CANCER CENTER

NPI Number 1568001386
Legal business name
LBN
JEFFERSON REGIONAL CANCER CENTER
Authorized official BRYAN JACKSON - (CFO)
Entity Organization
Organization subpart Yes
Enumeration date 12/26/2019
Last updated 12/26/2019 - About 6 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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