JEFFERSON COMPREHENSIVE CARE SYSTEM, INC (NPI# 1396941191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396941191 |
| Entity Type | Organization |
| Organization Name | JEFFERSON COMPREHENSIVE CARE SYSTEM, INC |
| Other Organization Name | RISON CENTER |
| Practice Address |
505 Sycamore Rison AR 71665 |
| Mailing Address |
Po Box 1285 Pine Bluff AR 71613-1285 |
| Practice Telephone | 8703256255 |
| Practice Fax Number | 8703256117 |
| Mailing Telephone | 8705432380 |
| Mailing Fax Number | 8705354716 |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2007-07-20 |
| Authorized Official Name | MR. LARNELL W DAVIS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8705432380 |
| 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 | 122634749 | 05 |
| Other Name | Type Code |
|---|---|
| Rison 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 |
| 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 |
| 1194922849 | Jefferson Comprehensive Care System, Inc | Clinic/Center | 1100 N University Ave, Suite 125, Little Rock, AR 72207-6343 | 2007-06-27 |
| 1730385105 | Jefferson Comprehensive Care System, Inc | Clinic/Center | 309 S Edline, Altheimer, AR 72004-8559 | 2007-06-22 |
| Street Address |
505 SYCAMORE |
| City | RISON |
| State | AR |
| Zip Code | 71665 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336798263 | Rachel Hope Norton | Family Medicine | 1530 Gub Club Rd, Rison, AR 71665 | 2019-09-04 |
| 1285105957 | Mainline Health Systems, Inc. | Clinic/Center | 505 Sycamore St., Rison, AR 71665 | 2018-12-06 |
| 1871036111 | New Beginnings Behavioral Health Services | Community/Behavioral Health | 402 N. Main St #3, Rison, AR 71665 | 2016-11-18 |
| 1942645569 | Warmack Pharmacies,inc. | Pharmacy | 300 Pine Street, Rison, AR 71665 | 2013-05-09 |
| 1003038167 | Kimberly Kay Golden | Family Medicine | 505 Sycamore Street, Rison, AR 71665 | 2007-05-02 |
| 1174543771 | Cleveland County Ambulance Service | Ambulance | 601 Sycamore, Rison, AR 71665 | 2006-07-20 |
| 1386259083 | Southeast Arkansas Behavioral Healthcare System | Community/Behavioral Health | 402 N. Main Street, Suite 2, Rison, AR 71665 | 2020-09-10 |
| 1568947752 | Alisha Engelkes | Nurse Practitioner | 217 N Main St, Rison, AR 71665 | 2018-10-03 |
| 1174001382 | Kimberly Michelle Rawls | Nurse Practitioner | 505 Sycamore Street, Rison, AR 71665 | 2018-07-31 |
| 1639698558 | Access Medical Clinic Arkansas LLC | Clinic/Center | 217 N Main St, Rison, AR 71665 | 2017-09-12 |
| Find all providers in zip 71665 | ||||
| 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 |
|---|---|---|---|---|
| 1285105957 | Mainline Health Systems, Inc. | Clinic/Center | 505 Sycamore St., Rison, AR 71665 | 2018-12-06 |
| 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 | ||||
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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.