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HV00133 JEFFERSON COMPREHENSIVE CARE SYSTEM INC (Terminated)
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Main Details
Name
JEFFERSON COMPREHENSIVE CARE SYSTEM INC
Subdivision Name
PINE BLUFF MEDICAL & DENTAL CENTER
Type
Ryan White Part C
340B ID
HV00133
Grant Number
H76HA00133
Additional Details
Current Program Status
Terminated
Registration Date
12/5/2006
Participating Start Date
1/1/2007
Participating Approval Date
12/5/2006
Last Recertification Date
3/7/2025
Time Period the Assistance was Received
5/1/2022 - 4/30/2025
Termination Date
Termination Reason
4/1/2025
Business decision by the Covered Entity
Contacts
Authorizing Official
Jefferson Comprehensive Care System, Inc
Sandra J. Brown, Chief Executive Officer
(870) 543-2300
Primary Contact
Jefferson Comprehensive Care System, Inc.
Chanda Evans-McField, Chief Financial Officer
(870) 543-2300
Addresses
Street Address
1101 S TENNESSEE STREET
PINE BLUFF, AR 71601
Billing Address
JEFFERSON COMPREHENSIVE CARE SYSTEM INC.
PO BOX 1285
PINE BLUFF, AR 71613-1285
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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May 2025
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