Jefferson Regional Medical Center

LBN: Jefferson Hospital Association Inc
Jefferson Regional Medical Center is an health care organization with primary practice located at 1600 W. 40Th Avenue , Pine Bluff AR 71603-6301. The organization recently has 4 registered licenses in different health care specialties including Hospital Units / Psychiatric Unit, Hospital Units / Rehabilitation Unit, Hospitals / General Acute Care Hospital, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Hospitals / General Acute Care Hospital is the primary health care specialty. Jefferson Hospital Association Inc can be contacted via phone (870) 541-7100, or through Davis, Kristen Jade via phone (870) 541-7173.

Contact Information

Primary practice address
1600 W. 40Th Avenue Pine Bluff AR 71603-6301
Phone: (870) 541-7100
Fax: (870) 541-7964
Website:
Map and Directions
Authorized official contact:
Name: Davis, Kristen Jade
Phone: (870) 541-7173

Health care specialties

SpecialtyCodeLicense #State
Hospital Units / Psychiatric Unit 273R00000X
Hospital Units / Rehabilitation Unit 273Y00000X
Hospital Units / Rehabilitation Unit 273Y00000X AR4213 Arkansas
Hospitals / General Acute Care Hospital 282N00000X
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X
Hospitals / General Acute Care Hospital 282N00000X AR4213 Arkansas

Profile Details

NPI number 1710931985
LBN Legal business name Jefferson Hospital Association Inc
DBA Doing business as Jefferson Regional Medical Center
Authorized official Davis, Kristen Jade
Entity Organization
Organization subpart 1 No
Enumeration date May 20th, 2006
Last updated Oct 21st, 2020 - about 3 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 1710931985 NPPES
Arkansas Other 040071 MEDICARE PART A
Arkansas MEDICAID 103078002 MEDICARE PART A
Arkansas Other 5000023 MEDICARE PART A
Arkansas Other 045307 MEDICARE PART A
Arkansas Other 04S071 MEDICARE PART A
Arkansas Other 10071 MEDICARE PART A
Arkansas MEDICAID 102916105 MEDICARE PART A
Arkansas Other 15307 MEDICARE PART A

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