River Valley Primary Care Services | |
603 S Division St Lavaca AR 72941-4129 | |
(479) 279-7683 | |
(479) 279-7684 |
Full Name | River Valley Primary Care Services |
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Speciality | Clinic/center - Dental |
Location | 603 S Division St, Lavaca, Arkansas |
Authorized Official Name and Position | Jerome J White (CEO) |
Authorized Official Contact | 4794312057 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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River Valley Primary Care Services Po Box 130 Ratcliff AR 72951-0130 Ph: (479) 431-2057 | River Valley Primary Care Services 603 S Division St Lavaca AR 72941-4129 Ph: (479) 279-7683 |
NPI Number | 1285208827 |
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Provider Enumeration Date | 05/18/2021 |
Last Update Date | 05/18/2021 |
Identifier | Type | State | Issuer |
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1285208827 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |