RIVER VALLEY PRIMARY CARE SERVICES (NPI# 1699010991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699010991 |
| Entity Type | Organization |
| Organization Name | RIVER VALLEY PRIMARY CARE SERVICES |
| Other Organization Name | LAMAR SCHOOL DISTRICT HEALTH CENTER |
| Practice Address |
635 Childers Ave Lamar AR 72846-8161 |
| Mailing Address |
Po Box 130 Ratcliff AR 72951-0130 |
| Practice Telephone | 4796684881 |
| Mailing Telephone | 4796355300 |
| Mailing Fax Number | 4796352010 |
| Enumeration Date | 2012-11-28 |
| Last Update Date | 2020-01-15 |
| Authorized Official Name | MR. JEROME JOSEPH WHITE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4794312050 |
| 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 |
| Other Name | Type Code |
|---|---|
| Lamar School District Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 |
635 CHILDERS AVE |
| City | LAMAR |
| State | AR |
| Zip Code | 72846-8161 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487020855 | Stephannie Cawiezell | Nurse Practitioner | 635 Childers Ave, Lamar, AR 72846-8161 | 2015-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063724912 | Alternative Opportunities | Community/Behavioral Health | 1000 E Main, Lamar, AR 72846 | 2010-07-08 |
| 1447460993 | Sallie M Hampton | Nurse Practitioner | 635 Childers Street, Lamar, AR 72846 | 2007-05-23 |
| 1265919708 | Sarah Joy Cook | Nurse Practitioner | 291 W Main St, Lamar, AR 72846 | 2018-07-27 |
| 1073004891 | Access Medical Clinic Arkansas LLC | Family Medicine | 291 W Main St, Lamar, AR 72846 | 2018-05-29 |
| 1720509664 | Dana West | Counselor | 1000 E Main St, Lamar, AR 72846-7401 | 2017-06-30 |
| 1932551983 | Jeena Riddell | Counselor | 1000 E Main St, Lamar, AR 72846-7401 | 2016-07-01 |
| 1912356890 | Robert Washburn | Counselor | 1000 E Main St, Lamar, AR 72846-7401 | 2016-06-10 |
| 1619344967 | Logan White | Counselor | 1000 E Main St, Lamar, AR 72846-7401 | 2015-08-21 |
| 1356734628 | Heather Griggs | Counselor | 1000 E Main St, Lamar, AR 72846-7401 | 2015-03-11 |
| 1346661303 | Thomas Williams | Counselor | 1000 E Main St, Lamar, AR 72846-7401 | 2013-12-18 |
| Find all providers in zip 72846 | ||||
| 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 |
|---|---|---|---|---|
| 1487020418 | Ozark Tri-county Health Care Consortium | Clinic/Center | 210 W 10th St, Lamar, MO 64759 | 2015-08-13 |
| 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 | ||||
Please comment or provide details below to improve the information on RIVER VALLEY PRIMARY CARE SERVICES.
| 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.