River Valley Primary Care Services
NPI 1184256679 · Federally Qualified Health Center (FQHC) · Bonanza, AR
Enrolled with Medicare as Part a Provider - Federally Qualified Health Center (fqhc) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
River Valley Primary Care Services is a Federally Qualified Health Center (FQHC) organization in Bonanza, AR (NPI 1184256679).
Provider details
- NPI number
- 1184256679
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jerome White, Ceo(479) 431-2057
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Bonanza Wellness Center
Registry dates
- Enumerated
- 2020-02-12
- Last updated
- 2020-02-12
- Certified
- 2020-02-12
Frequently asked questions
- What is River Valley Primary Care Services's NPI number?
- River Valley Primary Care Services's National Provider Identifier (NPI) is 1184256679, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is River Valley Primary Care Services?
- River Valley Primary Care Services is classified in the NPPES registry as Federally Qualified Health Center (FQHC) (Ambulatory Health Care Facilities).
- Where is River Valley Primary Care Services located?
- River Valley Primary Care Services's practice location on file with NPPES is 920 S Highway 45, Bonanza, AR 72916-3420.
- What is River Valley Primary Care Services's phone number?
- The practice phone number listed in the NPPES registry for River Valley Primary Care Services is (479) 431-2057.
- Does River Valley Primary Care Services accept Medicare?
- River Valley Primary Care Services is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for River Valley Primary Care Services?
- The authorized official listed on River Valley Primary Care Services's NPPES record is Jerome White, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is River Valley Primary Care Services's NPI active?
- Yes — River Valley Primary Care Services's NPI (1184256679) is active in the NPPES registry as of the last update on 2020-02-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.