Altheimer Center

LBN: Jefferson Comprehensive Care System, Inc
Altheimer Center is an health care organization with primary practice located at 309 S Edline , Altheimer AR 72004-8559. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Jefferson Comprehensive Care System, Inc can be contacted via phone (870) 766-8411, or through Davis, Larnell W via phone (870) 543-2380.

Contact Information

Primary practice address
309 S Edline Altheimer AR 72004-8559
Phone: (870) 766-8411
Fax: (870) 766-8412
Website:
Map and Directions
Authorized official contact:
Name: Davis, Larnell W
Phone: (870) 543-2380

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1730385105
LBN Legal business name Jefferson Comprehensive Care System, Inc
DBA Doing business as Altheimer Center
Authorized official Davis, Larnell W
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 22nd, 2007
Last updated Jul 20th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730385105 NPPES
Arkansas MEDICAID 122651749

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