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JEFFERSON REGIONAL HEALTHWORKS
NPI 1841235868
Clinic/Center in Pine Bluff, AR

Active since June 17, 2006CLIA 04D0698656 · Waiver
4201 S MULBERRY ST STE A, PINE BLUFF, AR 71603(870) 536-6600(870) 534-1519 Get Directions Write a Review

NPPES record last updated: April 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 12, 2023, Apr 15, 2020 (2 updates tracked since 2020).

About Jefferson Regional Healthworks NPPES

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

JEFFERSON REGIONAL HEALTHWORKS (NPI 1841235868) is a healthcare organization registered as a clinic/center in Pine Bluff, Arkansas and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through November 30, 2027 and lists Bryan Jackson, Vp/chief Admin Officer, as its authorized official.

NPPES Registry Identity

NPI1841235868
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameJEFFERSON HOSPITAL ASSOCIATION, INC
Location Address4201 S MULBERRY ST STE APine Bluff, AR 71603-7002
Mailing Address4201 S Mulberry St Ste APine Bluff, AR 71603-7002 · (870) 536-6600 · Fax (870) 541-8623
Phone(870) 536-6600
Fax(870) 534-1519
Organization SubpartNo
Authorized OfficialBryan JacksonVp/chief Admin Officer · (870) 541-7141
Enumeration DateJune 17, 2006
Last NPPES UpdateApril 12, 20232 updates tracked since enumeration
NPPES CertifiedApril 12, 2023
✔ NPI 1841235868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
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).
4201 S MULBERRY ST STE A, Pine Bluff, AR 71603
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Other Names 1

Doing Business AsJefferson Regional Healthworks

Other Identifiers 2

Other56802AR · Blue Cross Blue Shield
OtherCI2242AR · Railroad Medicare

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 04D0698656

Jefferson Regional Healthworks · Pine Bluff, AR
Active · expires Nov 30, 2027
CLIA Number04D0698656
Laboratory TypeIndustrial
Certificate Effective DateDecember 1, 2025
Certificate Expiration DateNovember 30, 2027
Laboratory DirectorDr. Holly Handloser-Morgan
Laboratory Phone(870) 536-6600
Laboratory LocationJefferson Regional Healthworks4201 S Mulberry Street, Pine Bluff, AR 71603
CLIA data matches this NPI record on: Address Name Phone
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.

ELIZABETH HARTZ DNP, APRN, FNP-BC
Nurse Practitioner
4201 S MULBERRY ST STE A
PINE BLUFF, AR 71603
Jefferson County (870) 541-7684

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 Hospital Association, Inc's NPI number?

The NPI number for Jefferson Hospital Association, Inc is 1841235868. It was assigned to this organization in the NPPES registry on June 17, 2006. The provider is doing business as Jefferson Regional Healthworks.

Where is Jefferson Hospital Association, Inc located?

Jefferson Hospital Association, Inc is located at 4201 S Mulberry St Ste A, Pine Bluff, AR 71603. The listed phone number is (870) 536-6600.

What is Jefferson Hospital Association, Inc's specialty?

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

Does Jefferson Hospital Association, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D0698656) is associated with this NPI, valid through November 30, 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 Hospital Association, Inc was last updated on April 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.