RIVER VALLEY PRIMARY CARE SERVICES (NPI# 1568647519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568647519 |
| Entity Type | Organization |
| Organization Name | RIVER VALLEY PRIMARY CARE SERVICES |
| Other Organization Name | NORTHSIDE CLINIC AT 6TH STREET |
| Practice Address |
3202 N 6th St Fort Smith AR 72904-4164 |
| Mailing Address |
Po Box 130 Ratcliff AR 72951-0130 |
| Practice Telephone | 4797833900 |
| Practice Fax Number | 4797833905 |
| Mailing Telephone | 4796350091 |
| Mailing Fax Number | 4796352010 |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2020-06-08 |
| Authorized Official Name | MR. JERRY J. WHITE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4794312057 |
| 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 | 176996749 | 05 |
| Other Name | Type Code |
|---|---|
| Northside Clinic at 6th Street | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699010991 | River Valley Primary Care Services | Clinic/Center | 635 Childers Ave, Lamar, AR 72846-8161 | 2012-11-28 |
| 1124634555 | River Valley Primary Care Services | Pharmacy | 9755 W State Highway 22, Ratcliff, AR 72951-9000 | 2020-09-21 |
| 1184256679 | River Valley Primary Care Services | Clinic/Center | 920 S Highway 45, Bonanza, AR 72916-3420 | 2020-02-12 |
| 1902452345 | River Valley Primary Care Services | Clinic/Center | 603 S Division St, Lavaca, AR 72941-4129 | 2019-08-12 |
| 1205322542 | River Valley Primary Care Services | Family Medicine | 708 W Main St, Clarksville, AR 72830-3411 | 2018-07-10 |
| 1952349003 | River Valley Primary Care Services | Clinic/Center | 9755 W State Highway 22, Ratcliff, AR 72951 | 2006-06-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | RIVER VALLEY PRIMARY CARE SERVICES | 9755 State Highway 22, Ratcliff, AR 72951-9000 |
| Street Address |
3202 N 6TH ST |
| City | FORT SMITH |
| State | AR |
| Zip Code | 72904-4164 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376538090 | Marie Pham-russell | Clinical Nurse Specialist | 3202 N 6th St, Fort Smith, AR 72904-4164 | 2005-09-19 |
| 1093283657 | Wansley Harrison | Social Worker | 3202 N 6th St, Fort Smith, AR 72904-4164 | 2018-11-12 |
| 1356309660 | St. Edward Mercy Medical Center | Clinic/Center | 3202 N 6th St, Fort Smith, AR 72904-4164 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871072751 | Baptist Health Services | Family Medicine | 4700 Kelley Hwy Ste A, Fort Smith, AR 72904 | 2018-08-10 |
| 1649799081 | Timothy Morris | Case Manager/Care Coordinator | 5900 Kinkead Ave 477, Fort Smith, AR 72904 | 2017-09-18 |
| 1326564980 | Lyndy Luree Raley | Speech-Language Pathologist | 3300 Harris Ave., Fort Smith, AR 72904 | 2017-08-16 |
| 1104175280 | Chelsea Beth Phillips Claybrook | Physical Therapy Assistant | 1801 South 74th St., Fort Smith, AR 72904 | 2012-09-05 |
| 1437408762 | Misty Denise Flemming | Physical Therapy Assistant | 4401 Yorkshire Dr., Fort Smith, AR 72904 | 2012-08-31 |
| 1831473321 | Rebecca Lynn Reif | Speech-Language Pathologist | 5100 Kelley Highway, Fort Smith, AR 72904 | 2011-10-03 |
| 1760542443 | Neill Hamilton Treece | Dentist | 1528 No 39th, Fort Smith, AR 72904 | 2006-12-11 |
| 1285690842 | Fort Smith Home Health Agency Inc | Home Infusion | 220 N 12th Street, Ft Smith, AR 72904 | 2006-04-24 |
| 1659850329 | Baptist Health Services | Internal Medicine | 4700 Kelley Hwy Ste B, Fort Smith, AR 72904 | 2018-08-13 |
| 1437410545 | Susan Lynn Mcdaniel | Nurse Practitioner | 4900 Kelley Hwy, Fort Smith, AR 72904 | 2012-06-05 |
| Find all providers in zip 72904 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962014316 | Healthy Connections, Inc. | Clinic/Center | 1306 W Collin Raye Dr Ste B, De Queen, AR 71832-2502 | 2020-08-18 |
| 1982221065 | Arcare | Clinic/Center | 7300 Dollarway Rd Ste 116, White Hall, AR 71602-3023 | 2020-07-06 |
| 1669099073 | St Francis House Nwa, Inc | Clinic/Center | 1923 W Pickens Road, Pea Ridge, AR 72751 | 2020-07-01 |
| 1427674696 | Arcare | Clinic/Center | 11520 Sr 27, Hector, AR 72843-8710 | 2020-06-23 |
| 1487280384 | Arcare | Clinic/Center | 2805 Mid Cities Dr Ste 1, Bentonville, AR 72712-4291 | 2020-03-23 |
| 1073144028 | Arcare | Clinic/Center | 145 N Curtis Ave, Pea Ridge, AR 72751-3407 | 2020-01-29 |
| 1396383758 | Mainline Health Systems Inc | Clinic/Center | 1012 E Church St Ste B, Warren, AR 71671-3530 | 2019-12-17 |
| 1275177883 | Boston Mountain Rural Health Center, Inc | Clinic/Center | 1201 North Panther Ave # 3, Yellville, AR 72687 | 2019-11-06 |
| 1649814138 | St Francis House Nwa, Inc | Clinic/Center | 2328 Cardinal Drive, Springdale, AR 72764-4469 | 2019-10-29 |
| 1104469832 | Arcare | Clinic/Center | 501 Millwood Cir Ste E, Maumelle, AR 72113-6304 | 2019-10-25 |
| Find all providers with the same taxonomy | ||||
| City | FORT SMITH |
| Zip Code | 72904 |
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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.