| River Valley Primary Care, L.l.c. | |
|
107 W Broadway St Spiro OK 74959-2417 | |
| (479) 262-6069 | |
| Not Available |
| Full Name | River Valley Primary Care, L.l.c. |
|---|---|
| Speciality | Nurse Practitioner - Family |
| Location | 107 W Broadway St, Spiro, Oklahoma |
| Authorized Official Name and Position | Frederick Joseph Fuoco (SOLE MEMBER) |
| Authorized Official Contact | 5044956772 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| River Valley Primary Care, L.l.c. 403 Garrison Ave Apt 202 Fort Smith AR 72901-1959 Ph: (504) 495-6772 | River Valley Primary Care, L.l.c. 107 W Broadway St Spiro OK 74959-2417 Ph: (479) 262-6069 |
| NPI Number | 1487149043 |
|---|---|
| Provider Enumeration Date | 06/26/2018 |
| Last Update Date | 06/26/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487149043 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | N-5521 (Arkansas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 128797 (Arkansas) | Primary |
Marcella P Jones Do Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 701 W Broadway St, Spiro, OK 74959 Phone: 866-243-7203 Fax: 833-243-7203 | |
Spiro Family Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 702 W Broadway St, Spiro, OK 74959 Phone: 918-962-2442 Fax: 918-962-3895 | |
Osu Center For Health Sciences Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 702 W Broadway St, Spiro, OK 74959 Phone: 918-962-2442 Fax: 918-962-3895 | |
Main Street Family Medical, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 701 W Broadway St, Spiro, OK 74959 Phone: 918-962-8009 Fax: 918-962-8027 |