Organization
JEFFERSON MANAGEMENT SERVICES INC
Active
Parent organization
JEFFERSON HOSPITAL ASSOCIATION
Other names
Monticello Medical Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
JEFFERSON HOSPITAL ASSOCIATION
Authorized official
ROBERT ATKINSON (CEO)
(870) 541-7269
Entity
Organization
Contact information
Practice address
906 ROBERTS DR, MONTICELLO, AR 71655-5724
(870) 367-6867
(870) 367-1461
Mailing address
906 ROBERTS DR, MONTICELLO, AR 71655-5724
(870) 367-6867
(870) 367-1461
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167651002
—
AR
01
—
5F623
BLUE CROSS BLUE SHIELD
AR
01
—
DG1685
RAILROAD MEDICARE
AR
Enumeration date
01/08/2007
Last updated
05/22/2008
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