JEFFERSON COMPREHENSIVE CARE SYSTEM INC NPI 1003353111

NPI Information

NPI: 1003353111
Provider Name: JEFFERSON COMPREHENSIVE CARE SYSTEM, INC

Other Name: NORTH LITTLE ROCK COMMUNITY HEALTH CENTER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
2525 WILLOW ST
SUITE # 1
NORTH LITTLE ROCK, AR
ZIP 72114
Phone: (870) 543-2380
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JEFFERSON COMPREHENSIVE CARE SYSTEM, INC is a federally qualified health center (fqhc) clinic center in North Little Rock, AR. JEFFERSON COMPREHENSIVE CARE SYSTEM, INC NPI is 1003353111. The provider is registered as an organization entity type.
The provider Other Name Is North Little Rock Community Health Center.

The provider's business location address is:

2525 WILLOW ST
SUITE # 1
NORTH LITTLE ROCK, AR
ZIP 72114-213
Phone: (870) 543-2380

The provider's authorized official is Sandra Brown .
The authorized official title is Ceo and has the following contact phone number (870) 543-2300.

The enumeration date for this NPI number is 1/26/2017 and was last updated on 1/26/2017.

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	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

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: 11/14/2023

NPI Synchronization or Removal

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