RIVER VALLEY PRIMARY CARE SERVICES (NPI# 1902452345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902452345 |
| Entity Type | Organization |
| Organization Name | RIVER VALLEY PRIMARY CARE SERVICES |
| Practice Address |
603 S Division St Lavaca AR 72941-4129 |
| Mailing Address |
Po Box 130 Ratcliff AR 72951-0130 |
| Practice Telephone | 4794312050 |
| Practice Fax Number | 4794312058 |
| Mailing Telephone | 4794312050 |
| Mailing Fax Number | 4794312058 |
| Enumeration Date | 2019-08-12 |
| Last Update Date | 2019-08-12 |
| Authorized Official Name | JEROME J WHITE (EX. DIRECTOR) |
| Authorized Official Telephone | 4794312057 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Lavaca Wellness Center | 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 |
| 1205322542 | River Valley Primary Care Services | Family Medicine | 708 W Main St, Clarksville, AR 72830-3411 | 2018-07-10 |
| 1568647519 | River Valley Primary Care Services | Clinic/Center | 3202 N 6th St, Fort Smith, AR 72904-4164 | 2008-01-08 |
| 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 |
603 S DIVISION ST |
| City | LAVACA |
| State | AR |
| Zip Code | 72941-4129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932188216 | Robert E. Sanders | Internal Medicine | 603 S Division St, Suite A, Lavaca, AR 72941 | 2006-01-13 |
| 1821390287 | Lavaca Wellness Clinic, P.a. | Clinic/Center | 603 S Division St, Lavaca, AR 72941-4129 | 2010-11-17 |
| 1780990408 | Kelly Jo Hubbard | Nurse Practitioner | 603 S Division St, Lavaca, AR 72941-4129 | 2010-08-19 |
| 1275774440 | Jonathan Rene Broniste | Nurse Practitioner | 603 S Division St, Lavaca, AR 72941-4129 | 2009-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265804389 | Cynthia Leach | Social Worker | 604 Tiffany Drive, Lavaca, AR 72941 | 2015-10-28 |
| 1154725067 | Health-wise Pharmacy, Pllc | Pharmacy | 1800 West Main, Lavaca, AR 72941 | 2014-10-21 |
| 1215065974 | Lavaca School District | Local Education Agency (LEA) | 203 Fir Street, Lavaca, AR 72941 | 2007-03-02 |
| 1245838580 | Ciara Fleer | Occupational Therapist | 1408 Nixon Rd, Lavaca, AR 72941-3116 | 2020-10-09 |
| 1407024045 | Lavaca Family Clinic | Clinic/Center | 1000 W Main St, Lavaca, AR 72941-3530 | 2008-02-18 |
| 1154388999 | Area Agency On Aging of Western Arkansas, Inc | Hospice Care, Community Based | 500 S Division St, Lavaca, AR 72941-4126 | 2006-04-26 |
| 1508823113 | Area Agency On Aging of Western Arkansas, Inc | Home Health | 500 S Division St, Lavaca, AR 72941-4126 | 2006-04-27 |
| 1588997100 | James A Finley Jr. | Dentist | 1716 Fred Patterson Dr, Central City, AR 72941-6009 | 2009-09-14 |
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578176020 | Neaville Internal Medicine Pllc | Clinic/Center | 3000 Jennings Ln Ste H, Batesville, AR 72501-7255 | 2020-08-25 |
| 1508488255 | Skinner Family Dentistry | Clinic/Center | 312 E Kiehl Ave, Sherwood, AR 72120-2922 | 2020-05-15 |
| 1629602008 | Rose Counseling and Consulting Pllc | Clinic/Center | 204 Executive Ct Ste 101, Little Rock, AR 72205-4542 | 2020-02-25 |
| 1003450230 | Raising The Standards of Care LLC | Clinic/Center | 361 Southwest Dr Ste 771, Jonesboro, AR 72401-5854 | 2019-10-31 |
| 1497397897 | Way To Grow LLC | Clinic/Center | 307 Rockwell St, Hot Springs, AR 71913-6013 | 2019-10-17 |
| 1144876418 | Arkmed Healthcare Associates, Pllc | Clinic/Center | 3906 Lakeview Rd, North Little Rock, AR 72116-7305 | 2019-08-13 |
| 1508411422 | Sbs Investments LLC | Clinic/Center | 3114 Fox Rd Ste D, Jonesboro, AR 72404-9577 | 2019-08-07 |
| 1093368623 | Taylored Therapies, Pllc | Clinic/Center | 1004 Beau Terre Dr Ste 507, Bentonville, AR 72712-6799 | 2019-07-23 |
| 1811553555 | Diet of A Lifetime, LLC | Clinic/Center | 123 S Pine St, Pine Bluff, AR 71601-4222 | 2019-05-17 |
| 1043777436 | Amethyst Chiropractic | Clinic/Center | 1100 Mallard Pl Ste A, Bentonville, AR 72712-6850 | 2019-02-21 |
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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.