NPI 1003353111
Jefferson Comprehensive Care System, INC
Practice location
- Address
- 2525 Willow St Suite # 1, North Little Rock, AR 72114-2213
- Phone
- (870) 543-2380
- Mailing address
- PO Box 1285, Pine Bluff, AR 71613-1285
Authorised official
- Name
- Sandra Brown
- Title
- Ceo
- Phone
- (870) 543-2300
Registered specialties
Federally Qualified Health Center (FQHC)
Primary
Registry record
- NPI
- 1003353111
- Entity type
- Organization
- NPI issued
- 26 Jan 2017
- Record last updated
- 26 Jan 2017
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.