Jefferson Management Services, Inc.D/B/A Southeast Clinic

LBN: Southeast Clinic
Jefferson Management Services, Inc.D/B/A Southeast Clinic is an health care organization with primary practice located at 750 H L Ross Dr , Monticello AR 71655-5705. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Southeast Clinic can be contacted via phone (870) 367-1413, or through Holaday, Lisa M via phone (870) 367-1413.

Contact Information

Primary practice address
750 H L Ross Dr Monticello AR 71655-5705
Phone: (870) 367-1413
Fax: (870) 367-0012
Website:
Map and Directions
Authorized official contact:
Name: Holaday, Lisa M Doctor of Medicine (MD)
Phone: (870) 367-1413

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X E1635 Arkansas

Profile Details

NPI number 1730117755
LBN Legal business name Southeast Clinic
DBA Doing business as Jefferson Management Services, Inc.D/B/A Southeast Clinic
Authorized official Holaday, Lisa M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 29th, 2006
Last updated Aug 22nd, 2020 - about 6 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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