ALTHEIMER CENTER
NPI 1730385105
Clinic/Center - Federally Qualified Health Center (FQHC) in Altheimer, 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 22, 2007CLIA 04D0466080 · Microscopy

309 S EDLINE, ALTHEIMER, AR 72004(870) 766-8411(870) 766-8412 Get Directions Write a Review

NPPES record last updated: July 20, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Altheimer Center NPPES

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

ALTHEIMER CENTER (NPI 1730385105) is a healthcare organization registered as a federally qualified health center (fqhc) in Altheimer, Arkansas and active in the NPI registry since June 2007. The organization holds a CLIA Microscopy certificate valid through August 20, 2027 and lists Larnell W Davis, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1730385105

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameJEFFERSON COMPREHENSIVE CARE SYSTEM, INC

Location Address309 S EDLINEAltheimer, AR 72004-8559

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

Phone(870) 766-8411

Fax(870) 766-8412

Organization SubpartYes

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

Enumeration DateJune 22, 2007

Last NPPES UpdateJuly 20, 2007

✔ NPI 1730385105 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

309 S EDLINE, Altheimer, AR 72004

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Other Names 1

Doing Business AsAltheimer Center

Other Identifiers 1

Medicare OSCAR/certification041822AR

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 04D0466080

Altheimer Clinic · Altheimer, AR

Active · expires Aug 20, 2027

CLIA Number04D0466080

Laboratory TypeCommunity Clinic

Certificate Effective DateAugust 21, 2025

Certificate Expiration DateAugust 20, 2027

Laboratory DirectorDr. Marcus Crouther

Laboratory Phone(870) 766-8411

Laboratory LocationAltheimer Clinic309 South Edline, Altheimer, AR 72004

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 2

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

DR. MALINDA CHADSEY M.D.

Family Medicine

309 S EDLINE
ALTHEIMER, AR 72004

Jefferson County (870) 766-8411

KAREN K MCPHERSON APRN

Nurse Practitioner (Family)

309 S EDLINE, JEFFERSON COMPREHENSIVE CARE
ALTHEIMER, AR 72004

Jefferson County (870) 766-8411

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 1730385105. It was assigned to this organization in the NPPES registry on June 22, 2007. The provider is doing business as Altheimer Center.

Where is Jefferson Comprehensive Care System, Inc located?

Jefferson Comprehensive Care System, Inc is located at 309 S Edline, Altheimer, AR 72004. The listed phone number is (870) 766-8411.

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.

Does Jefferson Comprehensive Care System, Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 04D0466080) is associated with this NPI, valid through August 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Jefferson Comprehensive Care System, Inc was last updated on July 20, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.