RIVER VALLEY PRIMARY CARE SERVICES, INC. (NPI# 1639302896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639302896 |
| Entity Type | Organization |
| Organization Name | RIVER VALLEY PRIMARY CARE SERVICES, INC. |
| Other Organization Name | MOUNTAINBURG FAMILY CLINIC |
| Practice Address |
#4 Highway 71 Ne Mountainburg AR 72946-0000 |
| Mailing Address |
Po Box 130 Ratcliff AR 72951-0130 |
| Practice Telephone | 4793692091 |
| Practice Fax Number | 4793694119 |
| Mailing Telephone | 4796350091 |
| Mailing Fax Number | 4796352010 |
| Enumeration Date | 2009-09-03 |
| Last Update Date | 2019-02-20 |
| Authorized Official Name | MR. JEROME JOSPEH 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 | 771108349 | 05 | |
| AR | 180402749 | 05 |
| Other Name | Type Code |
|---|---|
| Mountainburg Family Clinic | Doing Business As Name - Organization |
| 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 |
| 1275766909 | River Valley Primary Care Services, Inc. | Clinic/Center | 421 N. Main Street, Mulberry, AR 72947 | 2009-08-28 |
| 1023163193 | River Valley Primary Care Services, Inc. | Clinic/Center | 4900 Kelley Highway, Fort Smith, AR 72904-5000 | 2007-01-25 |
| Street Address |
#4 HIGHWAY 71 NE |
| City | MOUNTAINBURG |
| State | AR |
| Zip Code | 72946-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447879168 | Katie Jean Donovan | Nurse Practitioner | 4 Highway 71, Mountainburg, AR 72946 | 2020-04-13 |
| 1750577581 | Lisa Anne Toth | Nurse Practitioner | #4 Highway 71 Northeast, Mountainburg, AR 72946 | 2007-09-14 |
| 1568471571 | Arkansas Rural Kare, Inc. | Clinic/Center | #4 Hwy 71 Ne, Mountainburg, AR 72946 | 2006-08-07 |
| 1003900549 | Janet Elizabeth Guyer | Family Medicine | #4 Hwy 71 Ne, Mountainburg, AR 72946 | 2006-10-02 |
| 1427278340 | Tammy Hamilton | Dietitian, Registered | 631 Oak St, Mountainburg, AR 72946-2827 | 2007-04-26 |
| 1750611752 | Tina Hall, Inc | Early Intervention Provider Agency | 1518 Highway 71 Se, Box 76, Mountainburg, AR 72946-3000 | 2010-01-13 |
| 1932317625 | Tina Hall | Speech-Language Pathologist | 1518 Highway 71 Se, Mountainburg, AR 72946-3000 | 2007-05-18 |
| 1922079003 | Zantha Elaine Sanderlin | Physical Therapist | 9815 Westwood Rd, Mountainburg, AR 72946-3278 | 2006-01-27 |
| 1205453255 | Courtney Bogan | Physical Therapist | 9820 Dollard Rd, Mountainburg, AR 72946-3350 | 2020-06-25 |
| 1073643805 | Mountainburg Public Schools | Local Education Agency (LEA) | 129 Highway 71 Sw, Mountainburg, AR 72946-4112 | 2007-03-07 |
| Find all providers in zip 72946 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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|---|---|---|---|---|
| 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 | MOUNTAINBURG |
| Zip Code | 72946 |
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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.