River Valley Primary Care Services

NPI #1902452345 in Lavaca, Arkansas

Provider Information

NPI Number: 1902452345
Entity Type: Organization
Organization Name: River Valley Primary Care Services
Primary Specialty: Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date: Aug 12, 2019
Last Updated: Feb 1, 2021

Practice Location

Address: 603 S DIVISION ST
City: Lavaca
State: Arkansas
ZIP Code: 72941-4129
Phone: (479) 431-2050

Authorized Official

Name: JEROME J WHITE
Title: EX. DIRECTOR
Phone: (479) 431-2057

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC)	261QF0400X	Primary

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