Organization · Type 2 NPI

Jefferson Comprehensive Care System, Inc

Federally Qualified Health Center (FQHC) · Redfield, AR

NPI number 1124224928 Active

Practice location

113 W River Rd
Redfield, AR 72132

Call (501) 397-2261 Map

Fax (501) 397-2263

Mailing address

PO Box 1285
Pine Bluff, AR 71613-1285

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

NPI record

NPI: 1124224928
Entity type: Organization (Type 2)
Issued: Jun 27, 2007
Last updated: Jul 20, 2007
Status: Active
Subpart: Yes of Jefferson Comprehensive Care System, Inc

Other names

<unavail>
Redfield Center · doing business as

Authorized official

Mr. Larnell W Davis
Executive Director
(870) 543-2380

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1124224928

Jefferson Comprehensive Care System, Inc's National Provider Identifier is 1124224928, issued on Jun 27, 2007. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Redfield, AR. The record was last updated on Jul 20, 2007.