Organization
JEFFERSON HOSPITAL ASSOCIATION, INC
Active
Other names
Jefferson Regional Home Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT ATKINSON (CEO)
(870) 541-7269
Entity
Organization
Contact information
Practice address
1718 DOCTORS DR, PINE BLUFF, AR 71603-7015
(870) 541-7210
(870) 541-7238
Mailing address
1600 W 40TH AVE, PINE BLUFF, AR 71603-6301
(870) 541-7210
(870) 541-7238
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10506
BLUE CROSS PROV NUMBER
AR
Enumeration date
06/26/2006
Last updated
08/22/2020
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