# 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
- **Parent organization:** JEFFERSON HOSPITAL ASSOCIATION
- **Other names:** OBGYN Associates of South Arkansas
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1669851929
- **Legal business name:** JEFFERSON HOSPITAL ASSOCIATION
- **Authorized official:** BRIAN THOMAS (CEO)
- **Authorized official phone:** (870) 541-7100

## Contact information

- **Practice address:** 1600 W 40TH AVE, PINE BLUFF, AR 71603-6301
- **Practice address phone:** (870) 541-7100
- **Mailing address:** 1600 W 40TH AVE, PINE BLUFF, AR 71603-6301
- **Mailing address phone:** (870) 541-7100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/20/2015
- **Last updated:** 11/19/2020