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CH061202E RIVER VALLEY PRIMARY CARE SERVICES (Active)
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Main Details
Name
RIVER VALLEY PRIMARY CARE SERVICES
Subdivision Name
RVPCS-Eastside Family Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-012820
340B ID
CH061202E
Grant Number
H80CS04288
Additional Details
Current Program Status
Active
Registration Date
4/2/2013
Participating Start Date
4/3/2013
Participating Approval Date
4/2/2013
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
4003 Massard Rd
Fort Smith, AR 72903
Billing Address
River Valley Primary Care Services
P.O. Box 130
Ratcliff, AR 72951
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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04/02/13- Site was initially registered on time for a 4/1/2013 start date; approval was delayed until 4/2/2013 due to circumstances beyond the entity's control
12/09/2014
04/02/13- Site was initially registered on time for a 4/1/2013 start date; approval was delayed until 4/2/2013 due to circumstances beyond the entity’s control
04/02/2013
May 2025
May 2025
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