Jefferson Comprehensive Care System Inc in Pine Bluff - Federally Qualified Health Center (fqhc)
Jefferson Comprehensive Care System Inc - NPI 1053571711
Jefferson Comprehensive Care System Inc is a Federally Qualified Health Center (fqhc) in Pine Bluff, Arkansas. Jefferson Comprehensive Care System Inc practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Jefferson Comprehensive Care System Inc is 1053571711. The last update date is 2008-06-16.
Jefferson Comprehensive Care System Inc's current location address is Po Box 1285, Pine Bluff, Arkansas. You can contact this provider via phone number 8705432380 and fax number 8705354716. The mailing address for Jefferson Comprehensive Care System Inc is Po Box 1285, Pine Bluff, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jefferson Comprehensive Care System Inc |
|---|---|
| Address | Po Box 1285, Pine Bluff, Arkansas |
| Phone Number | 8705432380 |
| Fax Number | 8705354716 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Davis W Larnell |
| Telephone Number | 8705432380 |
NPI Number Detail
| NPI Number | 1053571711 |
|---|---|
| Provider Enumeration Date | 2008-06-16 |
| Last Updated Date | 2008-06-16 |
Provider Mailing Address Detail
| Address | Po Box 1285 |
|---|---|
| City | Pine Bluff |
| State | Arkansas (AR) |
| Post Code | 716131285 |
| Phone Number | 8705432380 |
| Fax Number | 8705354716 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 122636741 | AR | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jefferson Comprehensive Care System Inc by the Centers for Medicare & Medicaid Services?
The Jefferson Comprehensive Care System Inc has been assigned the NPI (National Provider Identifier) 1053571711 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Jefferson Comprehensive Care System Inc?
The Jefferson Comprehensive Care System Inc is situated at Po Box 1285, in the city of Pine Bluff, state of AR, with the zip code 716131285.
What is Jefferson Comprehensive Care System Inc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jefferson Comprehensive Care System Inc's specialized field of practice is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code that categorizes this area of specialization is 261Qf0400X.
On what date did the Jefferson Comprehensive Care System Inc receive its 1053571711 assignment from the Centers for Medicare & Medicaid Services?
The Jefferson Comprehensive Care System Inc was assigned its 1053571711 by the Centers for Medicare & Medicaid Services on 2008-06-16.
When was the information pertaining to Jefferson Comprehensive Care System Inc most recently updated or revised?
The details related to Jefferson Comprehensive Care System Inc, including its address, specialty, and other relevant information, were last updated or revised on 2008-06-16.
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