| Jefferson Hospital Association, Inc. | |
|
1600 W Holland Ave Ste 202 White Hall AR 71602-9221 | |
| (870) 541-7235 | |
| (870) 541-4297 |
| Full Name | Jefferson Hospital Association, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 1600 W Holland Ave Ste 202, White Hall, Arkansas |
| Authorized Official Name and Position | Bryan Jackson (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 8705417141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jefferson Hospital Association, Inc. Po Box 2650 Pine Bluff AR 71613-2650 Ph: (870) 541-7235 | Jefferson Hospital Association, Inc. 1600 W Holland Ave Ste 202 White Hall AR 71602-9221 Ph: (870) 541-7235 |
| NPI Number | 1144885047 |
|---|---|
| Provider Enumeration Date | 05/06/2019 |
| Last Update Date | 05/06/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144885047 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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