Jefferson Regional Medical Center

LBN: Jefferson Regional Medical Center
Jefferson Regional Medical Center is an health care organization with primary practice located at 1600 W 40Th Ave , Pine Bluff AR 71603-6301. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Jefferson Regional Medical Center can be contacted via phone (870) 541-7100, or through Thomas, Brian via phone (870) 541-7214.

Contact Information

Primary practice address
1600 W 40Th Ave Pine Bluff AR 71603-6301
Phone: (870) 541-7100
Fax: (870) 541-7499
Website:
Map and Directions
Authorized official contact:
Name: Thomas, Brian
Phone: (870) 541-7214

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X AR05666 Arkansas

Profile Details

NPI number 1851421861
LBN Legal business name Jefferson Regional Medical Center
DBA Doing business as
Authorized official Thomas, Brian
Entity Organization
Organization subpart 1 No
Enumeration date Mar 7th, 2007
Last updated Mar 7th, 2023 - about last year

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 1851421861 NPPES
Arkansas MEDICAID 100339407

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