Organization
RIVER VALLEY PRIMARY CARE SERVICES
Active
Other names
Mulberry Family Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JEROME WHITE (C.E.O.)
(479) 431-2057
Entity
Organization
Contact information
Practice address
421 N. MAIN STREET, MULBERRY, AR 72947
(479) 997-1484
Mailing address
PO BOX 130, RATCLIFF, AR 72951-0130
(479) 635-5300
(479) 635-2010
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
180401749
—
AR
05
—
771108449
—
AR
Enumeration date
08/28/2009
Last updated
03/08/2022
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