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

Q: What is Jefferson Comprehensive Care System Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Active since June 16, 2008

1101 TENNSSEE, PINE BLUFF, AR 71601(870) 543-2380(870) 535-4716 Get Directions Write a Review

NPPES record last updated: June 16, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Jccsi Cross Over NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JCCSI CROSS OVER (NPI 1053571711) is a healthcare organization registered as a federally qualified health center (fqhc) in Pine Bluff, Arkansas and active in the NPI registry since June 2008. The organization lists Larnell W Davis, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1053571711

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameJEFFERSON COMPREHENSIVE CARE SYSTEM INC

Location Address1101 TENNSSEEPine Bluff, AR 71601

Mailing AddressPo Box 1285Pine Bluff, AR 71613-1285 · (870) 543-2380 · Fax (870) 535-4716

Phone(870) 543-2380

Fax(870) 535-4716

Organization SubpartNo

Authorized OfficialLarnell W DavisExecutive Director · (870) 543-2380

Enumeration DateJune 16, 2008

✔ NPI 1053571711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

1101 TENNSSEE, Pine Bluff, AR 71601

Open in Google Maps ↗

Other Names 1

Doing Business AsJccsi Cross Over

Other Identifiers 1

Medicaid122636741AR

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jefferson Comprehensive Care System Inc's NPI number?

The NPI number for Jefferson Comprehensive Care System Inc is 1053571711. It was assigned to this organization in the NPPES registry on June 16, 2008. The provider is doing business as Jccsi Cross Over.

Where is Jefferson Comprehensive Care System Inc located?

Jefferson Comprehensive Care System Inc is located at 1101 Tennssee, Pine Bluff, AR 71601. The listed phone number is (870) 543-2380.

What is Jefferson Comprehensive Care System Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

When was this NPI record last updated?

The NPPES record for Jefferson Comprehensive Care System Inc was last updated on June 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.