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CH061202A RIVER VALLEY PRIMARY CARE SERVICES (Active)
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Main Details
Name
RIVER VALLEY PRIMARY CARE SERVICES
Subdivision Name
RIVER VALLEY PRIMARY CARE SERVICES INC.
Type
HRSA-Funded Health Center
Site ID
BPS-H80-003040
340B ID
CH061202A
Grant Number
H80CS04288
Additional Details
Current Program Status
Active
Registration Date
11/14/2005
Participating Start Date
11/14/2005
Participating Approval Date
11/14/2005
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
River Valley primary Care Services
JERRY WHITE, CEO
(479) 431-2057 Ext: 9040
Primary Contact
RVPCS
Claire Elizabeth Yates, 340B Coordinator
(479) 431-2050 Ext: 9034
Addresses
Street Address
9755 W State Highway 22
Ratcliff, AR 72951-9000
Billing Address
RIVER VALLEY PRIMARY CARE SERVICES, INC.
PO BOX 130
RATLIFF, AR 72951
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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8/19/10 ADDED BILL TO
10/06/2010
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