# RIVER CITY MINISTRY OF PULASKI COUNTY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** River City Medical Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205247004
- **Authorized official:** MELANIE WARE A.P.N. (MEDICAL MANAGER)
- **Authorized official phone:** (501) 376-6694

## Contact information

- **Practice address:** 1021 E WASHINGTON AVE, NORTH LITTLE ROCK, AR 72114-5853
- **Practice address phone:** (501) 376-6694
- **Practice address fax:** (501) 376-6695
- **Mailing address:** 1021 E WASHINGTON AVE, NORTH LITTLE ROCK, AR 72114-5853
- **Mailing address phone:** (501) 376-6694

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | C6822 | AR | Yes |
| 367A00000X | Advanced Practice Midwife | M001021 | AR | — |

## Other

- **Enumeration date:** 05/14/2014
- **Last updated:** 11/17/2014