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CH061202M RIVER VALLEY PRIMARY CARE SERVICES (Active)
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Main Details
Name
RIVER VALLEY PRIMARY CARE SERVICES
Subdivision Name
Clarksville Behavioral Health
Type
HRSA-Funded Health Center
Site ID
BPS-H80-032903
340B ID
CH061202M
Grant Number
H80CS04288
Additional Details
Current Program Status
Active
Registration Date
10/7/2021
Participating Start Date
1/1/2022
Participating Approval Date
10/12/2021
Last Recertification Date
2/12/2025
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
106 N Hill St
Clarksville, AR 72830-2961
Billing Address
River Valley Primary Care Services
PO Box 130
Ratcliff, AR 72951
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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