JEFFERSON HOSPITAL ASSOCIATION, INC.


Address: 1801 W 40th Ave Ste 6a, Pine Bluff, AR 71603-6963
Phone: 8705419373

JEFFERSON HOSPITAL ASSOCIATION, INC. (NPI# 1922578327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922578327
Entity Type Organization
Organization Name JEFFERSON HOSPITAL ASSOCIATION, INC.
Practice Address 1801 W 40th Ave Ste 6a
Pine Bluff
AR 71603-6963
Mailing Address Po Box 2650
Pine Bluff
AR 71613-2650
Practice Telephone 8705419373
Practice Fax Number 8705410109
Mailing Telephone 8705417235
Enumeration Date 2018-11-28
Last Update Date 2018-11-28
Authorized Official Name MR. BRYAN JACKSON (CHIEF FINANCIAL OFFICER)
Authorized Official Telephone 8705417141
Authorized Official Credential CFO
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Family Health Assoc of Southeast AR Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1144885047 Jefferson Hospital Association, Inc. Family Medicine 1600 W Holland Ave Ste 202, White Hall, AR 71602-9221 2019-05-06
1881162469 Jefferson Hospital Association, Inc. Pediatrics 1420 W 43rd Ave, Pine Bluff, AR 71603-7010 2018-11-13
1275841306 Jefferson Hospital Association, Inc. Orthopaedic Surgery 1609 W 40th Ave, Suite 501, Pine Bluff, AR 71603-6319 2010-09-23
1306097365 Jefferson Hospital Association, Inc. Clinic/Center 7500 Dollarway Rd, Suite 404, White Hall, AR 71602-3027 2008-10-08
1821021379 Jefferson Hospital Association, Inc. Health Maintenance Organization 1609 W 40th Ave, Suite 207, Pine Bluff, AR 71603-6319 2006-07-08
1235179581 Jefferson Hospital Association, Inc. Psychiatry & Neurology 1600 W 40th Ave, Attn: Hospitalist Program, Pine Bluff, AR 71603-6301 2006-06-07

Office Location

Street Address 1801 W 40TH AVE STE 6A
City PINE BLUFF
State AR
Zip Code 71603-6963

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700445038 Hannah Carter Dentist 3801 S Olive St, Pine Bluff, AR 71603 2019-06-11
1821544628 Nauman Yunus Md Pa Internal Medicine 1600 West 40th Ave, Jefferson Regional Medical Center, Pine Bluff, AR 71603 2016-08-31
1407278120 Arkansas Cancer Clinic Pa Radiology 7200 South Hazel Street, Pine Bluff, AR 71603 2014-01-15
1730515396 Sharon Yvette Webb Student in an Organized Health Care Education/Training Program 2318 Kyle Street, Pine Bluff, AR 71603 2013-09-16
1477992733 David Larry Byrd Pharmacist 5 Longmeadow, Pine Bluff, AR 71603 2013-06-20
1437400371 Thomas Jordan Harper Pharmacist 2809 South Camden Road, Pine Bluff, AR 71603 2012-10-01
1992080469 C&d Disability.inc Early Intervention Provider Agency 4806 W 9th Street, Pine Bluff, AR 71603 2011-10-17
1457645863 Clifton G Roaf & Marvin Q Caudle Dentist 1310 South Linden Street, Pine Bluff, AR 71603 2011-06-02
1932402682 Mary Campbell Licensed Practical Nurse 2302 W. 28th, Suite A, Pine Bluff, AR 71603 2010-12-17
1245468925 Evan N Newbolt Ophthalmology 3805 West 28th Ave, Pine Bluff, AR 71603 2009-07-01
Find all providers in zip 71603

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376001172 Larisa Kachowski, Md Family Medicine 1726 W 42d Ave, Pine Bluff, AR 71603-7160 2019-03-11
1689191108 Chizoba Usuwa Family Medicine 1601 W 40th Ave Ste 1, Pine Bluff, AR 71603-6069 2017-08-25
1649700337 Raquel M Rivera-cruz Family Medicine 1601 W 40th Ave Ste 100, Pine Bluff, AR 71603-6069 2017-06-14
1306156476 Michele A Pashkevich Md Pa Family Medicine 1708 W 42nd Ave, Pine Bluff, AR 71603-7008 2010-10-07
1578881488 Jaron Fredrick Byrd Family Medicine 6401 S Hazel St Apt 515, Pine Bluff, AR 71603-7848 2010-05-17
1023214574 Larisa Kachowski Family Medicine 1726 W42d Ave, Pine Bluff, AR 71603 2007-06-22
1740217132 James A Lindsey Family Medicine 1222 W 42nd Ave, Pine Bluff, AR 71603-7109 2006-06-28
1396772398 Gerald Clifton Morris Family Medicine 209 N Blake St, Pine Bluff, AR 71601-3226 2006-06-26
1275569758 University of Arkansas for Medical Sciences Family Medicine 1222 W 42nd St, Pine Bluff, AR 71603 2006-06-25
1306882501 Lester Trulie Alexander Family Medicine 4747 Dusty Lake Dr Ste G1, Pine Bluff, AR 71603-9056 2006-06-22
Find all providers in PINE BLUFF

Competitor

Search similar providers

City PINE BLUFF
Zip Code 71603

Improve Information

Please comment or provide details below to improve the information on JEFFERSON HOSPITAL ASSOCIATION, INC..

Dataset Information

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.

Trending Searches