# JEFFERSON HOSPITAL ASSOCIATION, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Family Health Associates of South Ar.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144885047
- **Authorized official:** BRYAN JACKSON (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (870) 541-7141

## Contact information

- **Practice address:** 1600 W HOLLAND AVE STE 202, WHITE HALL, AR 71602-9221
- **Practice address phone:** (870) 541-7235
- **Practice address fax:** (870) 541-4297
- **Mailing address:** PO BOX 2650, PINE BLUFF, AR 71613-2650
- **Mailing address phone:** (870) 541-7235
- **Mailing address fax:** (870) 541-4297

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/06/2019
- **Last updated:** 05/06/2019