# RIVER VALLEY PRIMARY CARE SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mulberry Family Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013581644
- **Authorized official:** JEROME J WHITE (CEO)
- **Authorized official phone:** (479) 431-2057

## Contact information

- **Practice address:** 437 N MAIN ST, MULBERRY, AR 72947-8574
- **Practice address phone:** (479) 997-1484
- **Mailing address:** PO BOX 130, RATCLIFF, AR 72951-0130
- **Mailing address phone:** (479) 431-2057
- **Mailing address fax:** (479) 431-2058

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/18/2021
- **Last updated:** 05/18/2021