RIVER VALLEY PRIMARY CARE SERVICES NPI 1902452345

NPI Information

RIVER VALLEY PRIMARY CARE SERVICES is a federally qualified health center (fqhc) clinic center in Lavaca, AR. RIVER VALLEY PRIMARY CARE SERVICES NPI is 1902452345. The provider is registered as an organization entity type.
The provider Is Doing Business As Lavaca Wellness Center.

The provider's business location address is:

603 S DIVISION ST
LAVACA, AR
ZIP 72941-129
Phone: (479) 431-2050
Fax: (479) 431-2058

The provider's authorized official is Jerome J White .
The authorized official title is Ex. Director and has the following contact phone number (479) 431-2057.

The enumeration date for this NPI number is 8/12/2019 and was last updated on 2/1/2021.

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:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.