Jefferson Comprehensive Care System Inc
Jefferson Comprehensive Care System Inc is a healthcare organization registered as Multi-Specialty Clinic/Center in Pine Bluff, AR, holding Type 2 (organization) NPI 1396904017 since 2008. The authorized official on file is Larnell Davis, Executive Director.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1396904017 |
|---|---|
| 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 | 8705432380 |
| Fax | 8705354716 |
| Enumeration date | 2008-06-06 |
| Last updated in NPPES | 2008-06-06 |
Authorized official
| Name | Larnell Davis |
|---|---|
| Title | Executive Director |
| Phone | 8705432380 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QM1300X | Multi-Specialty Clinic/Center | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 770019849 | Medicaid | AR | — |
Copy-ready billing details
Provider: Jefferson Comprehensive Care System Inc NPI: 1396904017 Taxonomy: 261QM1300X (Multi-Specialty Clinic/Center) Address: 1101 TENNESSEE ST, Pine Bluff, AR, 71601
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1154386597 | Jefferson Comprehensive Care System, Inc | Organization | Federally Qualified Health Center (FQHC) | Pine Bluff, AR |
| 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 |
Verify this record
Cross-check NPI 1396904017 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
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Where is Jefferson Comprehensive Care System Inc located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-06-06.