Organization · Type 2 NPI

Jefferson Comprehensive Care System, Inc

Federally Qualified Health Center (FQHC) · Little Rock, AR

NPI number 1194922849 Active

Practice location

1100 N University Ave, Suite 125
Little Rock, AR 72207-6343

Mailing address

PO Box 1285
Pine Bluff, AR 71613-1285

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

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

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About NPI 1194922849

Jefferson Comprehensive Care System, Inc's National Provider Identifier is 1194922849, issued on Jun 27, 2007. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Little Rock, AR. The record was last updated on Oct 3, 2013.