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Organization
JEFFERSON HOSPITAL ASSOCIATION, INC
Active
Organization
JEFFERSON HOSPITAL ASSOCIATION, INC
Active
Other names
Jefferson Regional Crossett Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
SHAYLA ROBINSON (CORPORATE COMPLIANCE OFFICER)
(870) 541-7395
Entity
Organization
Contact information
Practice address
201 FAIRVIEW ROAD, SUITE A, CROSSETT, AR 71635-4537
(870) 364-0000
Mailing address
PO BOX 2650, PINE BLUFF, AR 71613-2650
(870) 541-7211
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
01/07/2022
Last updated
04/01/2022
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