JEFFERSON REGIONAL SPECIALTY HOSPITAL
NPI 1740062264
Rehabilitation Hospital in White Hall, AR

Active since October 18, 2023CLIA 04D2299381 · Waiver
1500 W HOLLAND AVE, WHITE HALL, AR 71602(615) 920-7000 Get Directions Write a Review

NPPES record last updated: March 20, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Jefferson Regional Specialty Hospital NPPES

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

JEFFERSON REGIONAL SPECIALTY HOSPITAL (NPI 1740062264) is a healthcare organization registered as a rehabilitation hospital in White Hall, Arkansas and active in the NPI registry since October 2023. The organization holds a CLIA Waiver certificate valid through February 19, 2028 and lists Mary Daggett, Hospital Ceo, as its authorized official.

NPPES Registry Identity

NPI1740062264
Entity TypeOrganization
Primary Taxonomy283X00000X
Legal Business NameJEFFERSON REGIONAL REHABILITATION AND BEHAVIORAL HOSPITAL LLC
Location Address1500 W HOLLAND AVEWhite Hall, AR 71602
Mailing Address330 Seven Springs WayBrentwood, TN 37027-5098 · (615) 920-7000 · Fax (615) 920-8775
Organization SubpartNo
Authorized OfficialMary DaggettHospital Ceo · (615) 920-7000
Enumeration DateOctober 18, 2023
Last NPPES UpdateMarch 20, 2024
NPPES CertifiedMarch 18, 2024
NPI 1740062264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRehabilitation HospitalHospitals
Taxonomy Code283X00000X
Definition
A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity.
1500 W HOLLAND AVE, White Hall, AR 71602

Other Names 1

Doing Business AsJefferson Regional Specialty Hospital

Accepted Insurance

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 of Waiver 04D2299381

Jefferson Regional Specialty Hospital · White Hall, AR
Active · expires Feb 19, 2028
CLIA Number04D2299381
Laboratory TypeInpatient Rehab Facility
Certificate Effective DateFebruary 20, 2026
Certificate Expiration DateFebruary 19, 2028
Laboratory DirectorMs. Rebekah Davis
Laboratory Phone(870) 930-6500
Laboratory LocationJefferson Regional Specialty Hospital1500 W Holland Ave, White Hall, AR 71602
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Psychiatric Unit
1500 W HOLLAND AVE
WHITE HALL, AR 71602

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 Regional Rehabilitation And Behavioral Hospital LLC's NPI number?

The NPI number for Jefferson Regional Rehabilitation And Behavioral Hospital LLC is 1740062264. It was assigned to this organization in the NPPES registry on October 18, 2023. The provider is doing business as Jefferson Regional Specialty Hospital.

Where is Jefferson Regional Rehabilitation And Behavioral Hospital LLC located?

Jefferson Regional Rehabilitation And Behavioral Hospital LLC is located at 1500 W Holland Ave, White Hall, AR 71602. The listed phone number is (615) 920-7000.

What is Jefferson Regional Rehabilitation And Behavioral Hospital LLC's specialty?

The primary specialty registered for this NPI is Rehabilitation Hospital with taxonomy code 283X00000X.

Does Jefferson Regional Rehabilitation And Behavioral Hospital LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2299381) is associated with this NPI, valid through February 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Jefferson Regional Rehabilitation And Behavioral Hospital LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 5 other insurers list Jefferson Regional Rehabilitation And Behavioral Hospital LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jefferson Regional Rehabilitation And Behavioral Hospital LLC was last updated on March 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.