Organization
RIVER VALLEY PRIMARY CARE SERVICES
Active
Other names
Mountainburg Family Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEROME JOSPEH WHITE (EXECUTIVE DIRECTOR)
(479) 431-2057
Entity
Organization
Contact information
Practice address
722 HIGHWAY 282 SW, MOUNTAINBURG, AR 72946-4308
(479) 369-2091
(479) 662-6102
Mailing address
PO BOX 130, RATCLIFF, AR 72951-0130
(479) 635-0091
(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
—
180402749
—
AR
05
—
771108349
—
AR
Enumeration date
09/03/2009
Last updated
04/17/2025
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