River Valley Primary Care Services | |
722 Highway 282 Sw Mountainburg AR 72946-4308 | |
(479) 369-2091 | |
(479) 662-6102 |
Full Name | River Valley Primary Care Services |
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Speciality | Clinic/Center |
Location | 722 Highway 282 Sw, Mountainburg, Arkansas |
Authorized Official Name and Position | Jerome Jospeh White (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 4794312057 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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River Valley Primary Care Services Po Box 130 Ratcliff AR 72951-0130 Ph: (479) 635-0091 | River Valley Primary Care Services 722 Highway 282 Sw Mountainburg AR 72946-4308 Ph: (479) 369-2091 |
NPI Number | 1639302896 |
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Provider Enumeration Date | 09/03/2009 |
Last Update Date | 04/17/2025 |
Medicare PECOS PAC ID | 0042274276 |
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Medicare Enrollment ID | O20091106000501 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639302896 | NPI | - | NPPES |
180402749 | Medicaid | AR | |
771108349 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Arkansas Rural Kare, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: #4 Hwy 71 Ne, Mountainburg, AR 72946 Phone: 479-369-2091 Fax: 479-369-4119 |