Jefferson Comprehensive Care System, Inc

A Medicare group practice based in Little Rock, AR: 10 NPIs enrolled under one PECOS associate control ID (PAC ID 5193634509), with 23 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
5193634509The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
Enrolled in
AR
Enrollments
10
Group size
12 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
16In 6 places

Enrollment records 10

Enrollment IDStateProvider typeNPI
O20030304000006 AR Part A Provider - Federally Qualified Health Center (FQHC) 1194922849
O20040603001458 AR Part B Supplier - Clinic/Group Practice 1154386597
O20170721000654 AR Part A Provider - Federally Qualified Health Center (FQHC) 1003353111
O20240315000690 AR Part A Provider - Federally Qualified Health Center (FQHC) 1457054769
O20240228000867 AR Part A Provider - Federally Qualified Health Center (FQHC) 1548031016
O20100614000457 AR Part A Provider - Federally Qualified Health Center (FQHC) 1124224928
O20100614000326 AR Part A Provider - Federally Qualified Health Center (FQHC) 1689870065
O20100614000227 AR Part A Provider - Federally Qualified Health Center (FQHC) 1932305737
O20100610000152 AR Part A Provider - Federally Qualified Health Center (FQHC) 1730385105
O20101106000018 AR Part A Provider - Federally Qualified Health Center (FQHC) 1154386597

NPIs in this group 10

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 23

Clinicians who reassign their Medicare benefits to this group (22) or whom Care Compare lists as members (12).

Sources for this page