Jefferson Hospital Association, Inc. in Pine Bluff AR

Jefferson Hospital Association, Inc. is an orthopedic surgery with a current address of 1609 W 40th Ave Suite 501 Pine Bluff AR 71603-6319. The NPI is 1275841306, and the license number is (). It was issued on 09/23/2010. The primary taxonomy code for the clinic is 207X00000X. The provider is registered as an organization, and the NPI number was last updated on 01/25/2011.

 

Jefferson Hospital Association, Inc. can be reached by phone at 8705343449, by mail at 1609 W 40th Ave Suite 501 Pine Bluff AR 71603-6319, or by fax at 8705353973.

 

Walter Johnson (President/Ceo) is the authorized representative of the organization and can be reached at this phone number: 8705417269.

Name: Jefferson Hospital Association, Inc.

Specialization: Orthopedic Surgery

Provider Entity Type: Organization

Is Organization Subpart: No

Authorized Name: Walter Johnson

Authorized Title/Position: President/Ceo

Contact Number: 8705417269

 

Practice Location Address:

1609 W 40th Ave Suite 501

Pine Bluff

AR 71603-6319

Telephone Number: 8705343449

Fax Number: 8705353973

Mailing Address:

1609 W 40th Ave Suite 501

Pine Bluff

AR 71603-6319

Telephone Number: 8705343449

Fax Number: 8705353973

 

NPI is an abbreviation for National Provider Identifier. The NPI is a unique 10-digit identification number. The NPI number does not contain personally identifiable information, such as a provider’s specialty or location. The NPI is assigned to individuals or organizations for their lifetime and is unaffected by updates to key provider information, such as a change in practice, location, or specialty.

NPI Number: 1275841306

Enumeration Date: 09/23/2010

Last Update: 01/25/2011

 

The NPI record includes the health care provider’s taxonomy classification, state license number, and state of licensure. Health care providers choose their own taxonomy codes. Their specialty is determined by their level of education and training. The taxonomy codes do not indicate what services the healthcare provider provides. The levels of the code set are organized in such a way that it is possible to navigate from the generic classification to the most specific level of specialization of a provider.

Primary Taxonomy Code: 207X00000X

License Number:

License State:

 

Taxonomy Group: 193400000x Single Specialty Group

 

Other Taxonomy (if any):

 

Providers may hold one or more medical licenses in the same state or in different states for different specialties.

Identifier: 185009002

Code Type: 5

Identifier State: AR

Identifier Issuer:

 

Other Identifiers (if any):

5G334

1

AR

BCBS