Jefferson Comprehensive Care System, Inc in Pine Bluff - Federally Qualified Health Center (fqhc)
Jefferson Comprehensive Care System, Inc - NPI 1194922849
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 1194922849. The last update date is 2013-10-03.
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 | CFO |
|---|---|
| Authorized Official Name | Evans-Mcfield Chanda |
| Telephone Number | 8705365525 |
NPI Number Detail
| NPI Number | 1194922849 |
|---|---|
| Provider Enumeration Date | 2007-06-27 |
| Last Updated Date | 2013-10-03 |
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 |
|---|---|---|---|
| 150090749 | AR | -- |
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What is the unique 10-digit identification 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) 1194922849 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Jefferson Comprehensive Care System, Inc located?
The Jefferson Comprehensive Care System, Inc is located at Po Box 1285, Pine Bluff, AR 716131285.
What is Jefferson Comprehensive Care System, Inc's area of expertise and its corresponding taxonomy classification?
The Jefferson Comprehensive Care System, Inc's field of specialization is Federally Qualified Health Center (fqhc), and it falls under the taxonomy code 261Qf0400X, which categorizes healthcare providers based on their areas of practice.
On what date did the Jefferson Comprehensive Care System, Inc receive its 1194922849 assignment from the Centers for Medicare & Medicaid Services?
The Jefferson Comprehensive Care System, Inc was assigned its 1194922849 by the Centers for Medicare & Medicaid Services on 2007-06-27.
When was the information regarding Jefferson Comprehensive Care System, Inc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jefferson Comprehensive Care System, Inc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2013-10-03.
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