| River Valley Primary Care Services | |
|
920 S Highway 45 Bonanza AR 72916-3420 | |
| (479) 431-2057 | |
| (479) 431-2058 |
| Full Name | River Valley Primary Care Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 920 S Highway 45, Bonanza, Arkansas |
| Authorized Official Name and Position | Jerome J White (CEO) |
| Authorized Official Contact | 4794312057 |
| 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) 431-2057 | River Valley Primary Care Services 920 S Highway 45 Bonanza AR 72916-3420 Ph: (479) 431-2057 |
| NPI Number | 1184256679 |
|---|---|
| Provider Enumeration Date | 02/12/2020 |
| Last Update Date | 02/12/2020 |
| Medicare PECOS PAC ID | 0042274276 |
|---|---|
| Medicare Enrollment ID | O20200714001256 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184256679 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
William Justin Hayes Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 920 S. Hwy 45, Bonanza, AR 72916 Phone: 479-650-3853 Fax: 479-638-0052 | |
Pro-care Family Health Of Arkansas, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 706 Sherwood Ave, Bonanza, AR 72916 Phone: 479-255-6095 |