| River Valley Medical Center Family Clinic Llc | |
|
1652 State Highway 22 W Dardanelle AR 72834-2909 | |
| (318) 629-5321 | |
| (318) 629-5321 |
| Full Name | River Valley Medical Center Family Clinic Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1652 State Highway 22 W, Dardanelle, Arkansas |
| Authorized Official Name and Position | Rock Bordelon (CEO PRESIDENT) |
| Authorized Official Contact | 3182268202 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| River Valley Medical Center Family Clinic Llc 504 Texas St Ste 200 Shreveport LA 71101-3526 Ph: (318) 629-5321 | River Valley Medical Center Family Clinic Llc 1652 State Highway 22 W Dardanelle AR 72834-2909 Ph: (318) 629-5321 |
| NPI Number | 1245437490 |
|---|---|
| Provider Enumeration Date | 06/29/2007 |
| Last Update Date | 08/03/2007 |
| Medicare PECOS PAC ID | 1759464035 |
|---|---|
| Medicare Enrollment ID | O20080208000579 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245437490 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Jerry F Hodges |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194757849 PECOS PAC ID: 2466589551 Enrollment ID: I20100421000664 |
| Provider Name | Hailey Farris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447514310 PECOS PAC ID: 9537474762 Enrollment ID: I20150818004623 |
| Provider Name | Katerina Lynn Devore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275040511 PECOS PAC ID: 0648530295 Enrollment ID: I20180131000403 |
Ernest S. Sears, Jr., Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1101 N Front St, Dardanelle, AR 72834 Phone: 713-907-3867 Fax: 888-587-3512 | |
Dardanelle Family Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 N 3rd, Dardanelle, AR 72834 Phone: 479-229-2827 Fax: 479-229-6167 | |
River Valley Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 North Third Street, Dardanelle, AR 72834 Phone: 479-229-4677 Fax: 479-229-6162 | |
Access Medical Clinic Dardanelle Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1176 State Highway 22 W Ste B, Dardanelle, AR 72834 Phone: 479-229-3004 Fax: 870-994-7488 | |
Dardanelle Regional Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 200 N 3rd St Ste 1, Dardanelle, AR 72834 Phone: 479-229-6191 Fax: 479-229-6194 |