Organization
RIVER VALLEY PRIMARY CARE SERVICES
Active
Other names
Bonanza Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
JEROME J WHITE (CEO)
(479) 431-2057
Entity
Organization
Contact information
Practice address
920 S HIGHWAY 45, BONANZA, AR 72916-3420
(479) 431-2057
(479) 431-2058
Mailing address
PO BOX 130, RATCLIFF, AR 72951-0130
(479) 431-2057
(479) 431-2058
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
02/12/2020
Last updated
02/12/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up