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JEFFERSON HOSPITAL ASSOCIATION INC NPI 1710931985


NPI Information

NPI: 1710931985
Provider Name: JEFFERSON HOSPITAL ASSOCIATION INC

Doing Business As: JEFFERSON REGIONAL MEDICAL CENTER

Classification: General Acute Care Hospital - 282N00000X
Entity Type: Organization
Address:
1600 W. 40TH AVENUE
PINE BLUFF, AR
ZIP 71603
Phone: (870) 541-7100
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JEFFERSON HOSPITAL ASSOCIATION INC is a general acute care hospital in Pine Bluff, AR. The provider is an acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. JEFFERSON HOSPITAL ASSOCIATION INC NPI is 1710931985. The provider is registered as an organization entity type.
The provider Is Doing Business As Jefferson Regional Medical Center.

The provider's business location address is:

1600 W. 40TH AVENUE
PINE BLUFF, AR
ZIP 71603-301
Phone: (870) 541-7100
Fax: (870) 541-7964

The provider's authorized official is Kristen Jade Davis .
The authorized official title is Director Of Reimbursement and has the following contact phone number (870) 541-7173.

The enumeration date for this NPI number is 5/20/2006 and was last updated on 10/21/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1273R00000XPsychiatric UnitNo
2273Y00000XRehabilitation UnitNo
3273Y00000XRehabilitation UnitAR4213ARKANSASNo
4282N00000XGeneral Acute Care HospitalNo
5314000000XSkilled Nursing FacilityNo
6282N00000XGeneral Acute Care HospitalAR4213ARKANSASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
110071OTHERARKANSASBLUE CROSS PROVIDER #
215307OTHERARKANSASBLUE CROSS SNF PROVIDER #
3102916105MEDICAIDARKANSAS
404S071OTHERARKANSASMEDICARE PART A
5045307OTHERARKANSASMEDICARE PART A
65000023OTHERARKANSASUNITED HEALTHCARE
7040071OTHERARKANSASMEDICARE PART A
8103078002MEDICAIDARKANSAS

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.