JEFFERSON COMPREHENSIVE CARE SYSTEM, INC is a federally qualified health center (fqhc) clinic center in College Station, AR. JEFFERSON COMPREHENSIVE CARE SYSTEM, INC NPI is 1932305737. The provider is registered as an organization entity type.
The provider Is Doing Business As College Station Center.
The provider's business location address is:
4206 FRAZIER PIKE
COLLEGE STATION, AR
ZIP 72053
Phone: (501) 490-2440
Fax: (501) 490-0156
The provider's authorized official is Larnell W Davis .
The authorized official title is Executive Director and has the following contact phone number (870) 543-2380.
The CLIA number assigned to this NPI record is 04D0466333 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 6/27/2007 and was last updated on 7/20/2007.