| River Valley Primary Care Services | |
|
603 S Division St Lavaca AR 72941-4129 | |
| (479) 279-7683 | |
| (479) 279-7684 |
| Full Name | River Valley Primary Care Services |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 603 S Division St, Lavaca, Arkansas |
| Authorized Official Name and Position | Jerome J White (CEO) |
| Authorized Official Contact | 4794312057 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| River Valley Primary Care Services Po Box 130 Ratcliff AR 72951-0130 Ph: (479) 431-2057 | River Valley Primary Care Services 603 S Division St Lavaca AR 72941-4129 Ph: (479) 279-7683 |
| NPI Number | 1285208827 |
|---|---|
| Provider Enumeration Date | 05/18/2021 |
| Last Update Date | 05/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285208827 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |