No Referral Sources

No Referral Destinations

Practice Locations 1 Same Address Same Phone

No Medical Groups

No Affl. Hospitals

Primary Practice Address
1600 W 40TH AVE ATTN: HOSPITALIST PROGRAM
PINE BLUFF, AR 71603-6301 US

Jefferson Hospital Association, Inc.

Internal Medicine Physician

PINE BLUFF, AR
Phone: (870)-850-6053
Last Updated 7/30/2012

Overview

Jefferson Hospital Association, Inc. is a healthcare organization in the PINE BLUFF area. Jefferson Hospital Association, Inc. primary office location is at 1600 W 40TH AVE and new patients are welcome to contact this healthcare organization for an appointment. The NPI number is 1235179581 and the information was updated approximately 13 years ago.

We have not detected any Exclusions tied directly to this NPI.

Accepts Medicare Assignment: Unknown

Is sole proprietor: Unknown

Participates in PECOS: NO

Contact Information

Primary Practice Location Information
1600 W 40TH AVE ATTN: HOSPITALIST PROGRAM
PINE BLUFF, AR 71603-6301 US
Phone: (870)-850-6053
Fax:

Practice Mailing Information
1600 W 40TH AVE
PINE BLUFF, AR 71603-6301 US
Phone: (870)-850-6053
Fax: (870)-850-6482

No Licenses found

Type/Issuer	Identifier	State
MEDICAID	171969102	AR

Taxonomy	State	Primary?
Internal Medicine Physician - Taxonomy Code 207R00000X	--	Y
Multi-Specialty Group - Taxonomy Code 193200000X	AR	N
Neurologist - Taxonomy Code 2084N0400X	--	N

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