Jefferson Comprehensive Care System, Inc in Altheimer - Federally Qualified Health Center (fqhc)
Jefferson Comprehensive Care System, Inc - NPI 1730385105
Jefferson Comprehensive Care System, Inc is a Federally Qualified Health Center (fqhc) in Altheimer, 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 1730385105. The last update date is 2007-07-20.
Jefferson Comprehensive Care System, Inc's current location address is 309 S Edline, Altheimer, Arkansas. You can contact this provider via phone number 8707668411 and fax number 8707668412. The mailing address for Jefferson Comprehensive Care System, Inc is 309 S Edline, Altheimer, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jefferson Comprehensive Care System, Inc |
|---|---|
| Address | 309 S Edline, Altheimer, Arkansas |
| Phone Number | 8707668411 |
| Fax Number | 8707668412 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Davis W Larnell |
| Telephone Number | 8705432380 |
NPI Number Detail
| NPI Number | 1730385105 |
|---|---|
| Provider Enumeration Date | 2007-06-22 |
| Last Updated Date | 2007-07-20 |
Provider Mailing Address Detail
| Address | 309 S Edline |
|---|---|
| City | Altheimer |
| State | Arkansas (AR) |
| Post Code | 720048559 |
| Phone Number | 8707668411 |
| Fax Number | 8707668412 |
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 |
|---|---|---|---|
| 122651749 | AR | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jefferson Comprehensive Care System, Inc?
The Jefferson Comprehensive Care System, Inc has been issued the NPI (National Provider Identifier) 1730385105 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Jefferson Comprehensive Care System, Inc located?
The Jefferson Comprehensive Care System, Inc is located at 309 S Edline, Altheimer, AR 720048559.
What is Jefferson Comprehensive Care System, Inc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jefferson Comprehensive Care System, Inc's area of specialization is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code that categorizes this field of practice is 261Qf0400X.
When did Jefferson Comprehensive Care System, Inc receive its 1730385105 assignment?
The Jefferson Comprehensive Care System, Inc was assigned its 1730385105 on 2007-06-22, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Jefferson Comprehensive Care System, Inc last refreshed?
The information related to the Jefferson Comprehensive Care System, Inc, including its address, specialty, and other relevant details, was last updated on 2007-07-20.
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