Jefferson Comprehensive Care System, INC
Clinic/Center, Federally Qualified Health Center (FQHC) in Little Rock, AR. Organization (NPI-2).
NPI number1457054769
StatusActive
Last updated in NPPESMar 24, 2023
Details
- NPI
- 1457054769
- Entity type
- Organization (NPI-2)
- Legal business name
- Jefferson Comprehensive Care System, INC
- Organization subpart
- Yes
- Enumeration date
- Mar 24, 2023
- Certification date
- Mar 22, 2023
- Last updated
- Mar 24, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
Other names
- Jefferson Comprehensive Care System, INC- Abc (Other Name)
Practice location
1724 Bishop StLittle Rock, AR 72202-6022
Phone 870-543-2300
Mailing address
Po Box 1285Pine Bluff, AR 71613-1285
Phone 870-543-2300 · Fax 870-535-4716
Authorized official
Sandra J. Brown
Ceo
8705432380
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