RVPCS NORTHSIDE CLINIC
NPI 1023163193
Clinic/Center - Federally Qualified Health Center (FQHC) in Fort Smith, AR
About Rvpcs Northside Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RVPCS NORTHSIDE CLINIC (NPI 1023163193) is a healthcare organization registered as a federally qualified health center (fqhc) in Fort Smith, Arkansas and active in the NPI registry since January 2007. The organization holds a CLIA Microscopy certificate valid through June 26, 2028 and lists Jerome Joseph White, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Rvpcs Northside Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
42Medicare enrollment records show 42 clinicians reassign Medicare billing to Rvpcs Northside Clinic, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 14 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 5
Nearest to this location (20)
See all 42Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate for Provider-Performed Microscopy Procedures (PPMP) 04D1062378
Rvpcs Northside Clinic River Valley Primary Care Services Inc · Fort Smith, ARFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is River Valley Primary Care Services's NPI number?
The NPI number for River Valley Primary Care Services is 1023163193. It was assigned to this organization in the NPPES registry on January 25, 2007. The provider is doing business as Rvpcs Northside Clinic.
Where is River Valley Primary Care Services located?
River Valley Primary Care Services is located at 4900 Kelley Highway, Fort Smith, AR 72904. The listed phone number is (479) 785-5700.
What is River Valley Primary Care Services's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is River Valley Primary Care Services enrolled in Medicare?
Yes. River Valley Primary Care Services is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through River Valley Primary Care Services?
According to the CMS Revalidation Reassignment List (October 2026 release), 42 clinicians in 5 Medicare specialties reassign their Medicare billing to River Valley Primary Care Services. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (28), Family Practice (9) and Internal Medicine (2). Of these, 3 practice at this address and 14 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does River Valley Primary Care Services hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 04D1062378) is associated with this NPI, valid through June 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does River Valley Primary Care Services accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list River Valley Primary Care Services as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for River Valley Primary Care Services was last updated on May 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Rvpcs Northside Clinic · NPI 1023163193
Federally Qualified Health Center (FQHC) organization in Fort Smith, Arkansas. Organization record, active in the CMS NPPES registry since January 25, 2007.
## Identity
- **NPI:** 1023163193 (Entity type: Organization)
- **Enumerated:** January 25, 2007
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** River Valley Primary Care Services
- **Organization subpart:** No
- **Authorized official:** Jerome White, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 4900 KELLEY HIGHWAY, Fort Smith, AR 72904-5000
- **Phone:** (479) 785-5700 · **Fax:** (479) 785-5708
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 42 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (28), Family Practice (9), Internal Medicine (2); 3 practice at this address and 14 within 10 miles; [full list](https://npiprofile.com/npi/1023163193/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 15, 2023
- **Other identifiers:** Medicaid 770106349 (AR); Medicaid 1255357794 (AR); Medicaid 162672749 (AR)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1023163193) · Data from the CMS NPPES public registry.