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Organization

RIVER VALLEY PRIMARY CARE SERVICES

Active
Other names
Clarksville Behavioral Health
Organization subpart
No

Provider details

NPI number
Authorized official
JEROME J WHITE (CEO)
(479) 431-2057
Entity
Organization

Contact information

Practice address
106 N HILL ST, CLARKSVILLE, AR 72830-2961
(479) 668-3292
(479) 668-3293
Mailing address
PO BOX 130, RATCLIFF, AR 72951-0130
(479) 431-2057

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Enumeration date
07/23/2021
Last updated
07/23/2021
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