| River Valley Medical Wellness, Llc | |
|
2600 W Main St Russellville AR 72801-2535 | |
| (833) 479-6325 | |
| Not Available |
| Full Name | River Valley Medical Wellness, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2600 W Main St, Russellville, Arkansas |
| Authorized Official Name and Position | Kristin Martin (PROVIDER) |
| Authorized Official Contact | 8334796325 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| River Valley Medical Wellness, Llc 12811 Saint Charles Blvd Little Rock AR 72211-2105 Ph: () - | River Valley Medical Wellness, Llc 2600 W Main St Russellville AR 72801-2535 Ph: (833) 479-6325 |
| NPI Number | 1386268555 |
|---|---|
| Provider Enumeration Date | 06/03/2020 |
| Last Update Date | 05/18/2022 |
| Medicare PECOS PAC ID | 7315363199 |
|---|---|
| Medicare Enrollment ID | O20200812000194 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386268555 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Kristin K Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689835225 PECOS PAC ID: 3971636705 Enrollment ID: I20100730000788 |
| Provider Name | Jamie Michelle Zimmerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912320946 PECOS PAC ID: 7719118488 Enrollment ID: I20140321000286 |
| Provider Name | Lindsey Sharp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134588015 PECOS PAC ID: 5597056325 Enrollment ID: I20160624000923 |
| Provider Name | Tonya Denise Sauers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750852067 PECOS PAC ID: 9739425323 Enrollment ID: I20190118002126 |
| Provider Name | Miki Deneise Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700411311 PECOS PAC ID: 8820416068 Enrollment ID: I20200921000152 |
| Provider Name | Sakinah Shaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437856820 PECOS PAC ID: 8921469347 Enrollment ID: I20230802000897 |
| Provider Name | Kay Cherene Black |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114959012 PECOS PAC ID: 0244207454 Enrollment ID: I20240229000508 |
| Provider Name | David Tucker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770964975 PECOS PAC ID: 4082059613 Enrollment ID: I20240305001606 |
Russellville Family Clinic Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 Skyline Dr, Russellville, AR 72801 Phone: 479-968-7170 Fax: 479-968-7607 | |
St Mary's Physician Services Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 101 Skyline Dr, Russellville, AR 72801 Phone: 479-968-2345 Fax: 479-890-2497 | |
Arcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2424 W Main St, Russellville, AR 72801 Phone: 501-500-5001 Fax: 501-500-5001 | |
Monfee Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3812 W. Main St., Russellville, AR 72811 Phone: 479-968-1245 Fax: 479-968-4137 | |
Wellness Consulting Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1605 West C Place, Russellville, AR 72801 Phone: 479-890-9355 | |
Conway Regional Medical Clinic-russellville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 Skyline Dr, Russellville, AR 72801 Phone: 479-968-7170 Fax: 479-968-7607 | |
River Valley Aba Services Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3205 W Main St, Russellville, AR 72801 Phone: 479-968-1198 |