| River Valley Primary Care Services Inc | |
|
9755 W State Highway 22 Ratcliff AR 72951-9000 | |
| (479) 635-5300 | |
| (479) 635-2010 |
| Full Name | River Valley Primary Care Services Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 9755 W State Highway 22, Ratcliff, Arkansas |
| Authorized Official Name and Position | Jerry White (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4796355300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| River Valley Primary Care Services Inc Po Box 130 Ratcliff AR 72951-0130 Ph: (479) 635-5300 | River Valley Primary Care Services Inc 9755 W State Highway 22 Ratcliff AR 72951-9000 Ph: (479) 635-5300 |
| NPI Number | 1225296619 |
|---|---|
| Provider Enumeration Date | 06/02/2008 |
| Last Update Date | 06/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225296619 | NPI | - | NPPES |
| 156152631 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |