JEFFERSON HOSPITAL ASSOCIATION NPI 1730351941

NPI Information

  • NPI: 1730351941
  • Provider Name: JEFFERSON HOSPITAL ASSOCIATION
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Doing Business As: SHAH FAMILY MEDICINE
  • Address: 1801 W 40TH AVE
    SUITE 4B
    PINE BLUFF, AR
    ZIP 71603
  • Phone: (870) 535-4640

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NPI Details

JEFFERSON HOSPITAL ASSOCIATION is a clinic center in Pine Bluff, AR. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). JEFFERSON HOSPITAL ASSOCIATION NPI is 1730351941. The provider is registered as an organization entity type.
The provider Is Doing Business As Shah Family Medicine.

The provider's business location address is:

1801 W 40TH AVE
SUITE 4B
PINE BLUFF, AR
ZIP 71603-940
Phone: (870) 535-4640

The provider's authorized official is Robert P Atkinson .
The authorized official title is President and has the following contact phone number (870) 541-7269.

The enumeration date for this NPI number is 3/27/2008 and was last updated on 4/8/2008.

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
1261Q00000XClinic/CenterE4113ARKANSASYes

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: 11/21/2025

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