JEFFERSON HOSPITAL ASSOCIATION INC NPI 1174542906

NPI Information

NPI: 1174542906
Provider Name: JEFFERSON HOSPITAL ASSOCIATION, INC

Doing Business As: CARDIOLOGY ASSOCIATES

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
1601 W 40TH
SUITE 301
PINE BLUFF, AR
ZIP 71603
Phone: (870) 541-7220
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JEFFERSON HOSPITAL ASSOCIATION, INC is a cardiovascular disease internal medicine in Pine Bluff, AR. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. JEFFERSON HOSPITAL ASSOCIATION, INC NPI is 1174542906. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Cardiology Associates.

The provider's business location address is:

1601 W 40TH
SUITE 301
PINE BLUFF, AR
ZIP 71603
Phone: (870) 541-7220

The provider's authorized official is Walter Johnson .
The authorized official title is Ceo and has the following contact phone number (870) 541-7269.

The enumeration date for this NPI number is 7/19/2006 and was last updated on 3/18/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	E-4501	ARKANSAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	163127002	MEDICAID	ARKANSAS
2	DF4052	OTHER	ARKANSAS	RAILROAD MEDICARE
3	5F630	OTHER	ARKANSAS	BCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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