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RIVER VALLEY PEDIATRICS LLC NPI 1467493825


NPI Information

NPI: 1467493825
Provider Name: RIVER VALLEY PEDIATRICS LLC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
1513 JENNY LIND RD
FORT SMITH, AR
ZIP 72901
Phone: (479) 784-9000
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RIVER VALLEY PEDIATRICS LLC is a clinic center in Fort Smith, AR. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). RIVER VALLEY PEDIATRICS LLC NPI is 1467493825. The provider is registered as an organization entity type.

The provider's business location address is:

1513 JENNY LIND RD
FORT SMITH, AR
ZIP 72901-646
Phone: (479) 784-9000
Fax: (479) 784-9011

The provider's authorized official is William Floyd Clardy .
The authorized official title is Chief Medical Officer and has the following contact phone number (479) 794-9000.

The enumeration date for this NPI number is 6/9/2006 and was last updated on 8/22/2020.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterMC-2275ARKANSASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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