| River Valley Primary Care Services | |
|
635 Childers Ave Lamar AR 72846-8161 | |
| (479) 668-4881 | |
| Not Available |
| Full Name | River Valley Primary Care Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 635 Childers Ave, Lamar, Arkansas |
| Authorized Official Name and Position | Jerome Joseph White (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4794312050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| River Valley Primary Care Services Po Box 130 Ratcliff AR 72951-0130 Ph: (479) 635-5300 | River Valley Primary Care Services 635 Childers Ave Lamar AR 72846-8161 Ph: (479) 668-4881 |
| NPI Number | 1699010991 |
|---|---|
| Provider Enumeration Date | 11/28/2012 |
| Last Update Date | 01/15/2020 |
| Medicare PECOS PAC ID | 0042274276 |
|---|---|
| Medicare Enrollment ID | O20131113000089 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699010991 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Access Medical Clinic Arkansas Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 291 W Main St, Lamar, AR 72846 Phone: 479-703-5000 Fax: 870-895-2164 |