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Organization

ARKANSAS VERDIGRIS VALLEY HEALTH CENTERS, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SONYA L SMITH (CEO)
(918) 483-0111
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
207Q00000X
Family Medicine Physician
Primary
261QF0400X
Federally Qualified Health Center (FQHC)

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200109570A
OK
Enumeration date
02/26/2007
Last updated
04/21/2026
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