| Jefferson Comprehensive Care System, Inc | |
|
505 Sycamore Rison AR 71665 | |
| (870) 325-6255 | |
| (870) 325-6117 |
| Full Name | Jefferson Comprehensive Care System, Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 505 Sycamore, Rison, Arkansas |
| Authorized Official Name and Position | Larnell W Davis (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8705432380 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jefferson Comprehensive Care System, Inc Po Box 1285 Pine Bluff AR 71613-1285 Ph: (870) 543-2380 | Jefferson Comprehensive Care System, Inc 505 Sycamore Rison AR 71665 Ph: (870) 325-6255 |
| NPI Number | 1396941191 |
|---|---|
| Provider Enumeration Date | 06/27/2007 |
| Last Update Date | 07/20/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396941191 | NPI | - | NPPES |
| 122634749 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Mainline Health Systems, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 505 Sycamore St., Rison, AR 71665 Phone: 870-325-6255 Fax: 870-325-6117 | |
Access Medical Clinic Arkansas Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 217 N Main St, Rison, AR 71665 Phone: 888-264-5034 Fax: 870-895-2164 |