340B Drug Pricing Program Database
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CH061202B RIVER VALLEY PRIMARY CARE SERVICES (Active)
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Main Details
Name
RIVER VALLEY PRIMARY CARE SERVICES
Subdivision Name
RVPCS - NORTHSIDE CLINIC
Type
HRSA-Funded Health Center
Site ID
BPS-H80-003281
340B ID
CH061202B
Grant Number
H80CS04288
Additional Details
Current Program Status
Active
Registration Date
2/11/2009
Participating Start Date
4/1/2009
Participating Approval Date
2/12/2009
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
4900 Kelley Hwy
Fort Smith, AR 72904-5000
Billing Address
RIVER VALLEY PRIMARY CARE SERVICES, INC.
PO BOX 130
RATCLIFF, AR 72951
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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