| Jefferson Comprehensive Care System, Inc | |
|
1400 Main St Little Rock AR 72202-5036 | |
| (870) 543-2300 | |
| (870) 535-4716 |
| Full Name | Jefferson Comprehensive Care System, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1400 Main St, Little Rock, Arkansas |
| Authorized Official Name and Position | Chanda Evans Mcfield (CFO/CAO) |
| Authorized Official Contact | 8705432380 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jefferson Comprehensive Care System, Inc Po Box 1285 Pine Bluff AR 71613-1285 Ph: (870) 543-2311 | Jefferson Comprehensive Care System, Inc 1400 Main St Little Rock AR 72202-5036 Ph: (870) 543-2300 |
| NPI Number | 1548031016 |
|---|---|
| Provider Enumeration Date | 01/12/2024 |
| Last Update Date | 01/12/2024 |
| Medicare PECOS PAC ID | 5193634509 |
|---|---|
| Medicare Enrollment ID | O20240228000867 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548031016 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Lane Eye Care Center, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10700 N Rodney Parham Rd, Little Rock, AR 72212 Phone: 501-225-4648 Fax: 501-225-8628 | |
Primary Care Of Arkansas Chrystal Johnson Md Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 500 S University Ave, Suite 515, Little Rock, AR 72205 Phone: 501-666-6100 Fax: 501-666-6107 | |
Perry Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11321 I-30 Ste 304, Little Rock, AR 72209 Phone: 501-455-9500 Fax: 501-455-9505 | |
Apex Men's Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10700 N Rodney Parham Road, Ste C-10a, Little Rock, AR 72212 Phone: 501-246-7274 Fax: 501-421-4161 | |
Evgueni Roudachevski, D.o. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11912 Kanis Rd, Suite F2, Little Rock, AR 72211 Phone: 501-227-8020 Fax: 501-227-8826 | |
Specialty Care Solutions Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 110 W Colonel Glenn Rd, Little Rock, AR 72210 Phone: 501-821-4300 Fax: 501-821-4300 | |
Benny J Green Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14309 Cantrell Rd, Ste 7, Little Rock, AR 72223 Phone: 501-224-6727 Fax: 501-224-0674 |