River Valley Primary Care Services | |
920 S Highway 45 Bonanza AR 72916-3420 | |
(479) 431-2057 | |
(479) 431-2058 |
Full Name | River Valley Primary Care Services |
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Speciality | Clinic/Center |
Location | 920 S Highway 45, Bonanza, Arkansas |
Authorized Official Name and Position | Jerome J White (CEO) |
Authorized Official Contact | 4794312057 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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 920 S Highway 45 Bonanza AR 72916-3420 Ph: (479) 431-2057 |
NPI Number | 1184256679 |
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Provider Enumeration Date | 02/12/2020 |
Last Update Date | 02/12/2020 |
Medicare PECOS PAC ID | 0042274276 |
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Medicare Enrollment ID | O20200714001256 |
Identifier | Type | State | Issuer |
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1184256679 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Bonanza Family Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 920 S. Hwy 45, Bonanza, AR 72916 Phone: 479-650-3853 Fax: 479-638-0052 | |
Pro-care Family Health Of Arkansas, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 706 Sherwood Ave, Bonanza, AR 72916 Phone: 479-255-6095 |