# JEFFERSON HOSPITAL ASSOCIATION, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jefferson Hospitalist Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235179581
- **Authorized official:** TANYA M SIMPSON (PRESIDENT)
- **Authorized official phone:** (870) 850-6053

## Contact information

- **Practice address:** 1600 W 40TH AVE, ATTN: HOSPITALIST PROGRAM, PINE BLUFF, AR 71603-6301
- **Practice address phone:** (870) 850-6053
- **Practice address fax:** (870) 850-6482
- **Mailing address:** 1600 W 40TH AVE, ATTN: HOSPITALIST PROGRAM, PINE BLUFF, AR 71603-6301
- **Mailing address phone:** (870) 850-6053
- **Mailing address fax:** (870) 850-6482

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 2084N0400X | Neurology Physician | — | NULL | — |
| 2084N0400X | Neurology Physician | — | — | — |

## Other

- **Enumeration date:** 06/07/2006
- **Last updated:** 07/30/2012