River Valley Primary Care Services | |
100 N Walnut Ave Ste D Mansfield AR 72944-3522 | |
(479) 431-2050 | |
Not Available |
Full Name | River Valley Primary Care Services |
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Speciality | Clinic/center - Dental |
Location | 100 N Walnut Ave Ste D, Mansfield, Arkansas |
Authorized Official Name and Position | Jerome J White (CEO) |
Authorized Official Contact | 4794312050 |
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 100 N Walnut Ave Ste D Mansfield AR 72944-3522 Ph: (479) 431-2050 |
NPI Number | 1073186458 |
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Provider Enumeration Date | 07/22/2021 |
Last Update Date | 07/22/2021 |
Identifier | Type | State | Issuer |
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1073186458 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |