Organization
JEFFERSON HOSPITAL ASSOCIATION INC
Active
Other names
Jefferson Regional Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTEN JADE DAVIS (DIRECTOR OF REIMBURSEMENT)
(870) 541-7173
Entity
Organization
Contact information
Practice address
1600 W. 40TH AVENUE, PINE BLUFF, AR 71603-6301
(870) 541-7100
(870) 541-7964
Mailing address
1600 W. 40TH AVENUE, PINE BLUFF, AR 71603-6301
(870) 541-7100
(870) 541-7966
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
—
—
273Y00000X
Rehabilitation Hospital Unit
AR4213
AR
273Y00000X
Rehabilitation Hospital Unit
—
—
282N00000X
General Acute Care Hospital
Primary
AR4213
AR
282N00000X
General Acute Care Hospital
—
—
314000000X
Skilled Nursing Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040071
MEDICARE PART A
AR
01
—
045307
MEDICARE PART A
AR
01
—
04S071
MEDICARE PART A
AR
01
—
10071
BLUE CROSS PROVIDER #
AR
05
—
102916105
—
AR
05
—
103078002
—
AR
01
—
15307
BLUE CROSS SNF PROVIDER #
AR
01
—
5000023
UNITED HEALTHCARE
AR
Enumeration date
05/20/2006
Last updated
10/21/2020
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