NPI 1821021379

Jefferson Hospital Association, INC.

Organisation Health Maintenance Organization Pine Bluff, AR

Practice location

Address: 1609 W 40th Ave Suite 207, Pine Bluff, AR 71603-6319
Phone: (870) 534-2348
Fax: (870) 850-6816

Authorised official

Name: Walter Johnson
Title: Ceo
Phone: (870) 541-7269

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence E2787 (AR)

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Registry record

NPI: 1821021379
Entity type: Organization
NPI issued: 8 Jul 2006
Record last updated: 20 Jan 2011

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.