Jefferson Comprehensive Care System, Inc is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Altheimer, Arkansas. The current practice location for Jefferson Comprehensive Care System, Inc is 309 S Edline, Altheimer, Arkansas. For appointments, you can reach them via phone at
(870) 766-8411. The mailing address for Jefferson Comprehensive Care System, Inc is Po Box 1285, Pine Bluff, Arkansas and phone number is (870) 543-2380.
Jefferson Comprehensive Care System, Inc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1730385105. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(870) 766-8411.
Primary Care Clinic Profile
| Full Name | Jefferson Comprehensive Care System, Inc |
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| Speciality | Clinic/Center |
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| Location | 309 S Edline, Altheimer, Arkansas |
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| Authorized Official Name and Position | Larnell W Davis (EXECUTIVE DIRECTOR) |
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| Authorized Official Contact | 8705432380 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Jefferson Comprehensive Care System, Inc
Po Box 1285
Pine Bluff
AR 71613-1285
Ph: (870) 543-2380 | Jefferson Comprehensive Care System, Inc
309 S Edline
Altheimer
AR 72004-8559
Ph: (870) 766-8411 |
NPI Details:
| NPI Number | 1730385105 |
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| Provider Enumeration Date | 06/22/2007 |
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| Last Update Date | 07/20/2007 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 5193634509 |
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| Medicare Enrollment ID | O20100610000152 |
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Medical Identifiers
Medical identifiers for Jefferson Comprehensive Care System, Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1730385105 | NPI | - | NPPES |
| 122651749 | Medicaid | AR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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