# JEFFERSON HOSPITAL ASSOCIATION, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Family Health Associates of Southeast Arkansas
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497102040
- **Authorized official:** BRIAN THOMAS (SR. VP AND COO)
- **Authorized official phone:** (870) 541-7235

## Contact information

- **Practice address:** 1801 W 40TH AVE STE 6A, PINE BLUFF, AR 71603-6963
- **Practice address phone:** (870) 541-9373
- **Practice address fax:** (870) 541-0109
- **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:** 05/24/2016
- **Last updated:** 08/13/2025