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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
261QR1300X
Rural Health Clinic/Center
Primary

Other

Enumeration date
01/07/2022
Last updated
04/01/2022
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