JEFFERSON COMPREHENSIVE CARE SYSTEM, INC (NPI# 1194922849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194922849 |
| Entity Type | Organization |
| Organization Name | JEFFERSON COMPREHENSIVE CARE SYSTEM, INC |
| Other Organization Name | LITTLE ROCK COMMUNITY HEALTH CENTER |
| Practice Address |
1100 N University Ave Suite 125 Little Rock AR 72207-6343 |
| Mailing Address |
Po Box 1285 Pine Bluff AR 71613-1285 |
| Practice Telephone | 5016630055 |
| Mailing Telephone | 8705432380 |
| Mailing Fax Number | 8705354716 |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2013-10-03 |
| Authorized Official Name | MS. CHANDA EVANS-MCFIELD (CFO) |
| Authorized Official Telephone | 8705365525 |
| Is Organization Subpart | Y |
| Parent Organization Name | JEFFERSON COMPREHENSIVE CARE SYSTEM, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 150090749 | 05 |
| Other Name | Type Code |
|---|---|
| Little Rock Community Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003353111 | Jefferson Comprehensive Care System, Inc | Clinic/Center | 2525 Willow St, Suite # 1, North Little Rock, AR 72114-2213 | 2017-01-26 |
| 1396941191 | Jefferson Comprehensive Care System, Inc | Clinic/Center | 505 Sycamore, Rison, AR 71665 | 2007-06-27 |
| 1124224928 | Jefferson Comprehensive Care System, Inc | Clinic/Center | 113 W River Rd, Redfield, AR 72132 | 2007-06-27 |
| 1689870065 | Jefferson Comprehensive Care System, Inc | Clinic/Center | 1225 Dr Martin Luther King Dr, Little Rock, AR 72202-4743 | 2007-06-22 |
| 1154386597 | Jefferson Comprehensive Care System, Inc | Clinic/Center | 1101 Tennessee St, Pine Bluff, AR 71601-5801 | 2006-04-19 |
| 1932305737 | Jefferson Comprehensive Care System, Inc | Clinic/Center | 4206 Frazier Pike, College Station, AR 72053 | 2007-06-27 |
| 1730385105 | Jefferson Comprehensive Care System, Inc | Clinic/Center | 309 S Edline, Altheimer, AR 72004-8559 | 2007-06-22 |
| Street Address |
1100 N UNIVERSITY AVE SUITE 125 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72207-6343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427048677 | Sherri G. Parks | Clinical Nurse Specialist | 1100 N University Ave, Suite 200, Little Rock, AR 72207-6343 | 2005-10-27 |
| 1043841091 | Gary Appleby Blonsky | Social Worker | 1100 N University Ave, Little Rock, AR 72207-6343 | 2020-01-29 |
| 1780121269 | Lrcmhc | Community/Behavioral Health | 1100 N University Ave, Little Rock, AR 72207-6343 | 2017-01-23 |
| 1730634825 | Ashton Robbins | Case Manager/Care Coordinator | 1100 N University Ave, Evergreen Place Suite 200, Little Rock, AR 72207-6343 | 2016-08-18 |
| 1396195723 | Margaret Hicks | Social Worker | 1100 N University Ave, Suite 200, Little Rock, AR 72207-6343 | 2016-06-16 |
| 1295183432 | Kirby Danielle Caddy | Social Worker | 1100 N University Ave, Suite 200, Little Rock, AR 72207-6343 | 2016-05-27 |
| 1548629751 | Stefany Knight | Social Worker | 1100 N University Ave, Suite 200, Little Rock, AR 72207-6343 | 2016-02-16 |
| 1790143014 | Michael Mclaughlin | Registered Nurse | 1100 N University Ave, Suite 200, Little Rock, AR 72207-6343 | 2016-02-01 |
| 1104213842 | Toynicka Nicole Williams | Registered Nurse | 1100 N University Ave, 200, Little Rock, AR 72207-6343 | 2015-04-21 |
| 1104258714 | Karon Patrice Cunningham | Case Manager/Care Coordinator | 1100 N University Ave, 200, Little Rock, AR 72207-6343 | 2013-08-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245754555 | Yolanda Johnson | Case Manager/Care Coordinator | 1100 N University Suite 200, Little Rock, AR 72207 | 2017-07-28 |
| 1275065146 | Mccallum Medical Pa | Emergency Medicine | 1923 N Tyler St, Little Rock, AR 72207 | 2017-03-30 |
| 1700326790 | Denira Zardoost | Case Manager/Care Coordinator | 1100 N.uiversity, Evergreen Place Suite 200, Little Rock, AR 72207 | 2017-02-24 |
| 1952794828 | Robert Young Md | Clinic/Center | 4617 Crestwood Dr, Little Rock, AR 72207 | 2015-03-16 |
| 1366711004 | Amanda Diane Berg | Massage Therapist | 1405 N. Pierce St., Suite 210, Little Rock, AR 72207 | 2011-12-27 |
| 1801184080 | Larra Jean Bender | Massage Therapist | 1405 N. Pierce St. Suite 210, Little Rock, AR 72207 | 2011-07-21 |
| 1326371550 | Elizabeth G White | Social Worker | 1501 N University Ave Ste 416, Little Rock, AR 72207 | 2009-09-04 |
| 1437334364 | Lori Lamitina Nicholson | Chiropractor | 1405 North Pierce Street, Suite 210, Little Rock, AR 72207 | 2008-01-09 |
| 1568656858 | Megan Elizabeth Hughes | Social Worker | 5905 Forest Place, Little Rock, AR 72207 | 2007-08-30 |
| 1336361955 | Jennifer Baldwin | Occupational Therapist | 7204 M St, Little Rock, AR 72207 | 2007-05-03 |
| Find all providers in zip 72207 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205478773 | Healthy Connections, Inc. | Clinic/Center | 1701 S Harrison St, Little Rock, AR 72204-2752 | 2019-10-16 |
| 1689870065 | Jefferson Comprehensive Care System, Inc | Clinic/Center | 1225 Dr Martin Luther King Dr, Little Rock, AR 72202-4743 | 2007-06-22 |
| 1104466671 | Healthy Connections, Inc. | Clinic/Center | 1100 N University Ave Ste 260, Little Rock, AR 72207-6367 | 2020-01-13 |
| 1770948663 | Arcare | Clinic/Center | 11219 Financial Centre Pkwy, Suite 200, Little Rock, AR 72211-3873 | 2015-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962014316 | Healthy Connections, Inc. | Clinic/Center | 1306 W Collin Raye Dr Ste B, De Queen, AR 71832-2502 | 2020-08-18 |
| 1982221065 | Arcare | Clinic/Center | 7300 Dollarway Rd Ste 116, White Hall, AR 71602-3023 | 2020-07-06 |
| 1669099073 | St Francis House Nwa, Inc | Clinic/Center | 1923 W Pickens Road, Pea Ridge, AR 72751 | 2020-07-01 |
| 1427674696 | Arcare | Clinic/Center | 11520 Sr 27, Hector, AR 72843-8710 | 2020-06-23 |
| 1487280384 | Arcare | Clinic/Center | 2805 Mid Cities Dr Ste 1, Bentonville, AR 72712-4291 | 2020-03-23 |
| 1073144028 | Arcare | Clinic/Center | 145 N Curtis Ave, Pea Ridge, AR 72751-3407 | 2020-01-29 |
| 1396383758 | Mainline Health Systems Inc | Clinic/Center | 1012 E Church St Ste B, Warren, AR 71671-3530 | 2019-12-17 |
| 1275177883 | Boston Mountain Rural Health Center, Inc | Clinic/Center | 1201 North Panther Ave # 3, Yellville, AR 72687 | 2019-11-06 |
| 1649814138 | St Francis House Nwa, Inc | Clinic/Center | 2328 Cardinal Drive, Springdale, AR 72764-4469 | 2019-10-29 |
| 1104469832 | Arcare | Clinic/Center | 501 Millwood Cir Ste E, Maumelle, AR 72113-6304 | 2019-10-25 |
| Find all providers with the same taxonomy | ||||
| City | LITTLE ROCK |
| Zip Code | 72207 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.