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JEFFERSON MANAGEMENT SERVICES, INC.D/B/A SOUTHEAST CLINIC
NPI 1730117755
Clinic/Center in Monticello, AR

Active since June 29, 2006
750 H L ROSS DR, MONTICELLO, AR 71655(870) 367-1413(870) 367-0012 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jefferson Management Services, Inc.d/b/a Southeast Clinic NPPES

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

JEFFERSON MANAGEMENT SERVICES, INC.D/B/A SOUTHEAST CLINIC (NPI 1730117755) is a healthcare organization registered as a clinic/center in Monticello, Arkansas and active in the NPI registry since June 2006. The organization lists Lisa M Holaday, Physician, as its authorized official.

NPPES Registry Identity

NPI1730117755
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSOUTHEAST CLINIC
Location Address750 H L ROSS DRMonticello, AR 71655-5705
Mailing AddressPo Box 1920Monticello, AR 71657-1920 · (870) 367-1413 · Fax (870) 367-0012
Phone(870) 367-1413
Fax(870) 367-0012
Organization SubpartNo
Authorized OfficialLisa M HoladayPhysician · (870) 367-1413
Enumeration DateJune 29, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1730117755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in AR · E1635
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
750 H L ROSS DR, Monticello, AR 71655
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Other Names 1

Doing Business AsJefferson Management Services, Inc.d/b/a Southeast Clinic

Other Providers at the Same Location NPPES 3

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

JEFFERSON MANAGEMENT SERVICES,INC D/B/A MCKIEVER CLINIC
Legal Medicine
750 H L ROSS DR
MONTICELLO, AR 71655
Drew County (870) 367-6822
JEFFERSON MANAGEMENT SERVICE INC
Clinic/Center
750 H L ROSS DR
MONTICELLO, AR 71655
Drew County (870) 367-6822
JEFFERSON MANAGEMENT SERVICES INC
Clinic/Center
750 H L ROSS DR
MONTICELLO, AR 71655
Drew County (870) 367-6822

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 Southeast Clinic's NPI number?

The NPI number for Southeast Clinic is 1730117755. It was assigned to this organization in the NPPES registry on June 29, 2006. The provider is doing business as Jefferson Management Services, Inc.D/B/A Southeast Clinic.

Where is Southeast Clinic located?

Southeast Clinic is located at 750 H L Ross Dr, Monticello, AR 71655. The listed phone number is (870) 367-1413.

What is Southeast Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Southeast Clinic was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.