Rhuematology Clinic

LBN: Jefferson Hospital Association, Inc.
Rhuematology Clinic is an health care organization with primary practice located at 1609 W 40Th Ave Suite 207, Pine Bluff AR 71603-6319. The organization recently has only one registered license in Managed Care Organizations / Health Maintenance Organization, which is considered as the primary health care specialty. Jefferson Hospital Association, Inc. can be contacted via phone (870) 534-2348, or through Johnson, Walter via phone (870) 541-7269.

Contact Information

Primary practice address
1609 W 40Th Ave Suite 207 Pine Bluff AR 71603-6319
Phone: (870) 534-2348
Fax: (870) 850-6816
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Walter
Phone: (870) 541-7269

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Health Maintenance Organization 302R00000X E2787 Arkansas

Profile Details

NPI number 1821021379
LBN Legal business name Jefferson Hospital Association, Inc.
DBA Doing business as Rhuematology Clinic
Authorized official Johnson, Walter
Entity Organization
Organization subpart 1 No
Enumeration date Jul 8th, 2006
Last updated Jan 20th, 2011 - about 14 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 1821021379 NPPES
Arkansas Other 5F782 BLUE CROSS
Arkansas MEDICAID 165800002 BLUE CROSS

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