JEFFERSON REGIONAL CANCER CENTER; NPI #1568001386

Contact Information

JEFFERSON REGIONAL CANCER CENTER

1609 W 40TH AVE STE 205
PINE BLUFF, AR 71603-6367

Phone: 870-534-1188
Fax: 870-541-4297
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Oncology	261QX0200X

Indicates primary specialty

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NPI Profile & details for JEFFERSON REGIONAL CANCER CENTER

NPI Number	`1568001386`
LBN Legal business name	JEFFERSON REGIONAL CANCER CENTER
Authorized official	BRYAN JACKSON - (CFO)
Entity	Organization
Organization subpart ¹	Yes
Enumeration date	12/26/2019
Last updated	12/26/2019 - About 6 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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