Organization
JEFFERSON HOSPITAL ASSOCIATION, INC.
Active
Other names
SOUTH ARKANSAS ORTHOPAEDIC CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER E JOHNSON (PRESIDENT/CEO)
(870) 541-7269
Entity
Organization
Contact information
Practice address
1609 W 40TH AVE, SUITE 501, PINE BLUFF, AR 71603-6319
(870) 534-3449
(870) 535-3973
Mailing address
1609 W 40TH AVE, SUITE 501, PINE BLUFF, AR 71603-6319
(870) 534-3449
(870) 535-3973
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
185009002
—
AR
01
—
5G334
BCBS
AR
Enumeration date
09/23/2010
Last updated
01/25/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us