Organization
RIVER VALLEY PRIMARY CARE SERVICES
Active
Other names
Lavaca Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
JEROME J WHITE (EX. DIRECTOR)
(479) 431-2057
Entity
Organization
Contact information
Practice address
603 S DIVISION ST, LAVACA, AR 72941-4129
(479) 431-2050
(479) 431-2058
Mailing address
PO BOX 130, RATCLIFF, AR 72951-0130
(479) 431-2050
(479) 431-2058
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
08/12/2019
Last updated
02/01/2021
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