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RIVER VALLEY PRIMARY CARE SERVICES NPI 1205322542


NPI Information

NPI: 1205322542
Provider Name: RIVER VALLEY PRIMARY CARE SERVICES

Doing Business As: CLARKSVILLE COMMUNITY HEALTH CENTER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
708 W MAIN ST
CLARKSVILLE, AR
ZIP 72830
Phone: (479) 668-4909
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RIVER VALLEY PRIMARY CARE SERVICES is a federally qualified health center (fqhc) clinic center in Clarksville, AR. RIVER VALLEY PRIMARY CARE SERVICES NPI is 1205322542. The provider is registered as an organization entity type.
The provider Is Doing Business As Clarksville Community Health Center.

The provider's business location address is:

708 W MAIN ST
CLARKSVILLE, AR
ZIP 72830-411
Phone: (479) 668-4909
Fax: (479) 668-4881

The provider's authorized official is Jerome J White .
The authorized official title is Ex. Director and has the following contact phone number (479) 431-2057.

The enumeration date for this NPI number is 7/10/2018 and was last updated on 2/1/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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