River Valley Primary Care Services

NPI #1992212013 in Waldron, Arkansas

Provider Information

NPI Number: 1992212013
Entity Type: Organization
Organization Name: River Valley Primary Care Services
Primary Specialty: Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date: Jan 10, 2018
Last Updated: Feb 1, 2021

Practice Location

Address: 2074 RICE ROAD
City: Waldron
State: Arkansas
ZIP Code: 72958
Phone: (479) 635-5300

Authorized Official

Name: JEROME J WHITE
Title: EXECUTIVE DIRECTOR
Phone: (479) 635-0091

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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