Jefferson Comprehensive Care System, Inc
Jefferson Comprehensive Care System, Inc is a healthcare organization registered as Federally Qualified Health Center (FQHC) in Pine Bluff, AR, holding Type 2 (organization) NPI 1154386597 since 2006. The authorized official on file is Larnell Davis, Executive Director.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1154386597 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Jefferson Comprehensive Care System, Inc |
| Parent organization | Jefferson Comprehensive Care System, Inc |
| Practice address | 1101 TENNESSEE ST, Pine Bluff, AR, 71601 |
| Phone | 8705432380 |
| Fax | 8705354716 |
| Enumeration date | 2006-04-19 |
| Last updated in NPPES | 2007-07-20 |
Authorized official
| Name | Larnell Davis |
|---|---|
| Title | Executive Director |
| Phone | 8705432380 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QF0400X | Federally Qualified Health Center (FQHC) | Primary | — | — |
Copy-ready billing details
Provider: Jefferson Comprehensive Care System, Inc NPI: 1154386597 Taxonomy: 261QF0400X (Federally Qualified Health Center (FQHC)) Address: 1101 TENNESSEE ST, Pine Bluff, AR, 71601
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1861457988 | Rose Pace | Individual | Family Medicine Physician | Pine Bluff, AR |
| 1992760029 | Estelita Quimosing | Individual | Internal Medicine Physician | Pine Bluff, AR |
| 1700842614 | Paul Smith | Individual | Pediatrics Physician | Pine Bluff, AR |
| 1083670830 | Manuel Kelley | Individual | Family Medicine Physician | Pine Bluff, AR |
| 1184680746 | Margaret Washington | Individual | Family Medicine Physician | Pine Bluff, AR |
| 1023277746 | Jefferson Comprehensive Care System Inc | Organization | Dentist | Pine Bluff, AR |
| 1396904017 | Jefferson Comprehensive Care System Inc | Organization | Multi-Specialty Clinic/Center | Pine Bluff, AR |
Verify this record
Cross-check NPI 1154386597 against the authoritative CMS record: view Jefferson Comprehensive Care System, Inc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Jefferson Comprehensive Care System, Inc?
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-07-20.