RIVER VALLEY PRIMARY CARE SERVICES, INC. (NPI# 1275766909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275766909 |
| Entity Type | Organization |
| Organization Name | RIVER VALLEY PRIMARY CARE SERVICES, INC. |
| Other Organization Name | MULBERRY FAMILY CLINIC |
| Practice Address |
421 N. Main Street Mulberry AR 72947 |
| Mailing Address |
Po Box 130 Ratcliff AR 72951-0130 |
| Practice Telephone | 4799971484 |
| Mailing Telephone | 4796355300 |
| Mailing Fax Number | 4796352010 |
| Enumeration Date | 2009-08-28 |
| Last Update Date | 2016-12-30 |
| Authorized Official Name | JEROME WHITE (C.E.O.) |
| Authorized Official Telephone | 4796355300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 180401749 | 05 | |
| AR | 771108449 | 05 |
| Other Name | Type Code |
|---|---|
| Mulberry Family Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639302896 | River Valley Primary Care Services, Inc. | Clinic/Center | #4 Highway 71 Ne, Mountainburg, AR 72946-0000 | 2009-09-03 |
| 1619232295 | River Valley Primary Care Services, Inc. | Clinic/Center | 4003 Massard Rd, Fort Smith, AR 72903-6221 | 2012-07-10 |
| 1023163193 | River Valley Primary Care Services, Inc. | Clinic/Center | 4900 Kelley Highway, Fort Smith, AR 72904-5000 | 2007-01-25 |
| Street Address |
421 N. MAIN STREET |
| City | MULBERRY |
| State | AR |
| Zip Code | 72947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023053352 | Catherine Lyle Mustain | Physician Assistant | 421 N. Main Street, Mulberry, AR 72947 | 2006-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851501217 | Leslie Renee Entrekin | Specialist | 6301 Moon Rd, Mulberry, AR 72947-8359 | 2007-05-23 |
| 1942417795 | Mulberry Retirement Center | Custodial Care Facility | 949 N Main St, Mulberry, AR 72947-8538 | 2007-05-17 |
| 1093349730 | Western Arkansas Counseling and Guidance Center,inc.-rcf Mulberry | Community/Behavioral Health | 949 N Main St, Mulberry, AR 72947-8538 | 2020-03-02 |
| 1861048332 | Melinda Yowell | Case Manager/Care Coordinator | 949 N Main St, Mulberry, AR 72947-8538 | 2019-08-12 |
| 1720546062 | Cassandra Jeffries | Case Manager/Care Coordinator | 949 N Main St, Mulberry, AR 72947-8538 | 2019-03-06 |
| 1609387224 | Sheila Nicole Gilbert | Case Manager/Care Coordinator | 949 N Main St, Mulberry, AR 72947-8538 | 2017-10-23 |
| 1174045686 | Joshua Harris | Case Manager/Care Coordinator | 949 N Main St, Mulberry, AR 72947-8538 | 2017-07-17 |
| 1396273850 | Jerod Johnson | Counselor | 949 N Main St, Mulberry, AR 72947-8538 | 2017-05-30 |
| 1447793518 | April Cristee | Case Manager/Care Coordinator | 949 N Main St, Mulberry, AR 72947-8538 | 2016-11-22 |
| 1396144812 | Andrew Scott | Case Manager/Care Coordinator | 949 N Main St, Mulberry, AR 72947-8538 | 2014-08-20 |
| Find all providers in zip 72947 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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|---|---|---|---|---|
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| 1356737605 | Central Florida Health Care, Inc. | Clinic/Center | 106 Nw 9th Ave, Mulberry, FL 33860-2922 | 2015-04-14 |
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| 1104469832 | Arcare | Clinic/Center | 501 Millwood Cir Ste E, Maumelle, AR 72113-6304 | 2019-10-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.