Organization
JEFFERSON HOSPITAL ASSOCIATION, INC
Active
Other names
Jefferson Regional Star City Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
SHAYLA ROBINSON (CORPORATE COMPLIANCE OFFICER)
(870) 541-7395
Entity
Organization
Contact information
Practice address
1306 NORTH LINCOLN AVENUE, STAR CITY, AR 71667-4210
(870) 628-1347
Mailing address
PO BOX 2650, PINE BLUFF, AR 71613-2650
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/07/2022
Last updated
04/01/2022
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