Jefferson Hospitalist Services | |
1600 W 40th Ave Attn: Hospitalist Program Pine Bluff AR 71603-6301 | |
(870) 850-6053 | |
(870) 850-6482 |
Full Name | Jefferson Hospitalist Services |
---|---|
Speciality | Internal Medicine |
Location | 1600 W 40th Ave, Pine Bluff, Arkansas |
Authorized Official Name and Position | Tanya M Simpson (PRESIDENT) |
Authorized Official Contact | 8708506053 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Jefferson Hospitalist Services 1600 W 40th Ave Attn: Hospitalist Program Pine Bluff AR 71603-6301 Ph: (870) 850-6053 | Jefferson Hospitalist Services 1600 W 40th Ave Attn: Hospitalist Program Pine Bluff AR 71603-6301 Ph: (870) 850-6053 |
NPI Number | 1235179581 |
---|---|
Provider Enumeration Date | 06/07/2006 |
Last Update Date | 07/30/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235179581 | NPI | - | NPPES |
171969102 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Secondary |
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