JEFFERSON REGIONAL CANCER CENTER NPI 1568001386

NPI Information

NPI: 1568001386
Provider Name: JEFFERSON REGIONAL CANCER CENTER
Classification: Clinic/Center - 261QX0200X
Entity Type: Organization

Specialization: Oncology

Address:
1609 W 40TH AVE STE 205
PINE BLUFF, AR
ZIP 71603
Phone: (870) 534-1188
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JEFFERSON REGIONAL CANCER CENTER is an oncology clinic center in Pine Bluff, AR. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment and prescriptive services related to cancerous conditions. Services include chemotherapy infusions and monitoring of implanted chemotherapeutic agents. JEFFERSON REGIONAL CANCER CENTER NPI is 1568001386. The provider is registered as an organization entity type.

The provider's business location address is:

1609 W 40TH AVE STE 205
PINE BLUFF, AR
ZIP 71603-367
Phone: (870) 534-1188
Fax: (870) 541-4297

The provider's authorized official is Bryan Jackson .
The authorized official title is Cfo and has the following contact phone number (605) 677-3312.

The enumeration date for this NPI number is 12/26/2019 and was last updated on 12/26/2019.

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	261QX0200X	Clinic/Center	Oncology			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: 4/28/2024

NPI Synchronization or Removal

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