JCCSI CROSS OVER
NPI 1053571711
Clinic/Center - Federally Qualified Health Center (FQHC) in Pine Bluff, AR

NPI Status: Active since June 16, 2008

Contact Information

1101 TENNSSEE
PINE BLUFF, AR
ZIP 71601
Phone: (870) 543-2380
Fax: (870) 535-4716

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)

About JCCSI CROSS OVER

This page provides the complete NPI Profile along with additional information for Jccsi Cross Over, a primary care provider established in Pine Bluff, Arkansas operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1053571711 assigned on June 2008. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's is doing business as Jccsi Cross Over. The authorized official of this NPI record is Mr. Larnell W Davis (Executive Director)

NPI
1053571711
Provider Legal Name
JEFFERSON COMPREHENSIVE CARE SYSTEM INC
Other Organization Name
JCCSI CROSS OVER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1101 TENNSSEE PINE BLUFF, AR 71601
Location Phone
(870) 543-2380
Location Fax
(870) 535-4716
Mailing Address
PO BOX 1285 PINE BLUFF, AR 71613
Mailing Phone
(870) 543-2380
Mailing Fax
(870) 535-4716
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-16-2008
Last Update Date
06-16-2008
Code Navigator

A primary care provider (PCP) like Jccsi Cross Over sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. LARNELL W DAVIS

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(870) 543-2380

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
122636741MEDICAID (05)AR 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1053571711, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
3
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
7
Unchanged
Pos 7
1
Doubled → 2
Pos 8
7
Unchanged
Pos 9
1
Doubled → 2
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 5 → 10 → 1 1 → 2 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 0 + 3 + 1 + 0 + 7 + 2 + 7 + 2 + 24 = 49

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 49 is 50. The difference is the calculated check digit.

50 - 49 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1053571711.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053571711, enumerated as an "organization" on June 16, 2008.

The provider is located at 1101 TENNSSEE PINE BLUFF, AR 71601 and the phone number is (870) 543-2380.

Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.