# JEFFERSON HOSPITAL ASSOCIATION, INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Jefferson Regional Crossett Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225799646
- **Authorized official:** SHAYLA ROBINSON (CORPORATE COMPLIANCE OFFICER)
- **Authorized official phone:** (870) 541-7395

## Contact information

- **Practice address:** 201 FAIRVIEW ROAD, SUITE A, CROSSETT, AR 71635-4537
- **Practice address phone:** (870) 364-0000
- **Mailing address:** PO BOX 2650, PINE BLUFF, AR 71613-2650
- **Mailing address phone:** (870) 541-7211

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/07/2022
- **Last updated:** 04/01/2022