Organization
JEFFERSON HOSPITAL ASSOCIATION, INC.
Active
Other names
Jefferson Hospitalist Services
Organization subpart
No
Provider details
NPI number
Authorized official
TANYA M SIMPSON (PRESIDENT)
(870) 850-6053
Entity
Organization
Contact information
Practice address
1600 W 40TH AVE, ATTN: HOSPITALIST PROGRAM, PINE BLUFF, AR 71603-6301
(870) 850-6053
(870) 850-6482
Mailing address
1600 W 40TH AVE, ATTN: HOSPITALIST PROGRAM, PINE BLUFF, AR 71603-6301
(870) 850-6053
(870) 850-6482
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
2084N0400X
Neurology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171969102
—
AR
Enumeration date
06/07/2006
Last updated
07/30/2012
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