# ARKANSAS VERDIGRIS VALLEY HEALTH CENTERS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083740047
- **Authorized official:** SONYA L SMITH (CEO)
- **Authorized official phone:** (918) 483-0111

## Contact information

- **Practice address:** 505 S MAIN, PORTER, OK 74454
- **Practice address phone:** (918) 483-0111
- **Practice address fax:** (918) 483-0112
- **Mailing address:** PO BOX 334, PORTER, OK 74454-0334
- **Mailing address phone:** (918) 483-0213
- **Mailing address fax:** (918) 483-4174

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | — |
| 122300000X | Dentist | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 261QF0400X | Federally Qualified Health Center (FQHC) | — | NULL | — |

## Other

- **Enumeration date:** 02/26/2007
- **Last updated:** 04/21/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200109570A | — | OK |