| Jccsi Cross Over | |
|
1101 Tennssee Pine Bluff AR 71601 | |
| (870) 543-2380 | |
| (870) 535-4716 |
| Full Name | Jccsi Cross Over |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1101 Tennssee, Pine Bluff, Arkansas |
| Authorized Official Name and Position | Larnell W Davis (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8705432380 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jccsi Cross Over Po Box 1285 Pine Bluff AR 71613-1285 Ph: (870) 543-2380 | Jccsi Cross Over 1101 Tennssee Pine Bluff AR 71601 Ph: (870) 543-2380 |
| NPI Number | 1053571711 |
|---|---|
| Provider Enumeration Date | 06/16/2008 |
| Last Update Date | 06/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053571711 | NPI | - | NPPES |
| 122636741 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Uams South Central Mobile Unit Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1601 W 40th Ave, Pine Bluff, AR 71603 Phone: 870-541-6000 | |
John E Harris Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1801 W 40th Ave, Suite 5c, Pine Bluff, AR 71603 Phone: 870-534-0202 Fax: 870-534-8836 | |
Primary Care Of Pine Bluff Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 Claud Rd, Pine Bluff, AR 71602 Phone: 870-247-9499 | |
Mike S. Mcfarland Mdpa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3805 W 28th Ave, Pine Bluff, AR 71603 Phone: 870-536-4100 Fax: 870-534-3982 | |
Cdu, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1600 W 42nd Ave, Pine Bluff, AR 71603 Phone: 870-541-7111 Fax: 870-850-6482 | |
Walker Healthcare For Women Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1305 W 43rd Ave, Pine Bluff, AR 71603 Phone: 870-534-8515 Fax: 870-534-7160 |