RIVER VALLEY PRIMARY CARE SERVICES INC NPI 1225296619

NPI Information

RIVER VALLEY PRIMARY CARE SERVICES INC is a dental clinic center in Ratcliff, AR. RIVER VALLEY PRIMARY CARE SERVICES INC NPI is 1225296619. The provider is registered as an organization entity type.

The provider's business location address is:

9755 W STATE HIGHWAY 22
RATCLIFF, AR
ZIP 72951-000
Phone: (479) 635-5300
Fax: (479) 635-2010

The provider's authorized official is Jerry White .
The authorized official title is Executive Director and has the following contact phone number (479) 635-5300.

The enumeration date for this NPI number is 6/2/2008 and was last updated on 6/2/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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