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Jefferson Comprehensive Care System Inc

Multi-Specialty Clinic/Center in Pine Bluff, AR · enumerated 2008 · authorized official Larnell Davis, Executive Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1396904017

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Registry record

Entity type Organization (Type 2)
Legal business name Jefferson Comprehensive Care System Inc
Other name <Unavail>
Practice address 1101 Tennessee St, Pine Bluff, AR, 71601
Phone (870) 543-2380
Fax (870) 535-4716
Enumeration date Jun 6, 2008
Last updated in NPPES Jun 6, 2008

Taxonomy & classification

261QM1300X Multi-Specialty Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Larnell Davis
Title Executive Director
Phone (870) 543-2380

Other identifiers

Identifier Type State Issuer
770019849 Medicaid AR -

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.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-06-06. Verify at npiregistry.cms.hhs.gov.
Where is Jefferson Comprehensive Care System Inc located?
The practice location on file with NPPES is in Pine Bluff, AR.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-06-06.