JCCSI BREAST CARE
NPI 1396904017
Clinic/Center - Multi-Specialty 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 Multi-Specialty, with taxonomy code 261QM1300X.

Active since June 06, 2008

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

NPPES record last updated: June 6, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jccsi Breast Care NPPES

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

JCCSI BREAST CARE (NPI 1396904017) is a healthcare organization registered as a multi-specialty in Pine Bluff, Arkansas and active in the NPI registry since June 2008. The organization lists Larnell Davis, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1396904017

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NameJEFFERSON COMPREHENSIVE CARE SYSTEM INC

Location Address1101 TENNESSEE STPine Bluff, AR 71601-5801

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 DavisExecutive Director · (870) 543-2380

Enumeration DateJune 6, 2008

✔ NPI 1396904017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

1101 TENNESSEE ST, Pine Bluff, AR 71601

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Other Names 1

Doing Business AsJccsi Breast Care

Other Identifiers 1

Medicaid770019849AR

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEFFERSON COMPREHENSIVE CARE SYSTEM INC

Dentist