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RIVER VALLEY PRIMARY CARE OF POTEAU, LLC
NPI 1043796626
Nurse Practitioner - Family in Poteau, OK

Active since July 17, 2018
502 DEWEY AVE, POTEAU, OK 74953(504) 495-6772 Get Directions Write a Review

NPPES record last updated: July 17, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About River Valley Primary Care Of Poteau, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RIVER VALLEY PRIMARY CARE OF POTEAU, LLC (NPI 1043796626) is a healthcare organization registered as a family in Poteau, Oklahoma and active in the NPI registry since July 2018. The organization lists Fredrick Joseph Fuoco, Owner, as its authorized official.

NPPES Registry Identity

NPI1043796626
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameRIVER VALLEY PRIMARY CARE OF POTEAU, LLC
Location Address502 DEWEY AVEPoteau, OK 74953-4216
Mailing Address403 Garrison Ave Apt 202Fort Smith, AR 72901-1959
Phone(504) 495-6772
Organization SubpartNo
Authorized OfficialFredrick Joseph FuocoOwner · (504) 495-6772
Enumeration DateJuly 17, 2018
✔ NPI 1043796626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AR · 128797
Also ListedFamily MedicineTaxonomy 207Q00000X · License N5521 (AR)
502 DEWEY AVE, Poteau, OK 74953
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KENNETH L HAMMOND DDS PC
Dentist (General Practice)
502 DEWEY AVE
POTEAU, OK 74953
Le Flore County (918) 647-4636
KENDRA HAMMOND YANDELL D.D.S.
Dentist
502 DEWEY AVE
POTEAU, OK 74953
Le Flore County (918) 647-4636
KENDRA H. YANDELL DDS PC
Dentist (General Practice)
502 DEWEY AVE
POTEAU, OK 74953
Le Flore County (918) 647-4636
CASEY MANLOVE
Case Manager/Care Coordinator
502 DEWEY AVE
POTEAU, OK 74953
Le Flore County (918) 647-7065
MELISSA SHELBY JONES REITER
Case Manager/Care Coordinator
502 DEWEY AVE
POTEAU, OK 74953
Le Flore County (918) 649-7065
SHANAN ELAINE SHIPMAN
Case Manager/Care Coordinator
502 DEWEY AVE
POTEAU, OK 74953
Le Flore County (918) 647-2372
REBECCA JACKSON
Case Manager/Care Coordinator
502 DEWEY AVE
POTEAU, OK 74953
Le Flore County (918) 647-2372
ASHLEY MARIE SCROGGINS MS, CLINICAL MENTAL
Counselor (Mental Health)
502 DEWEY AVE
POTEAU, OK 74953
Le Flore County (918) 647-2372

Frequently 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 Of Poteau, LLC's NPI number?

The NPI number for River Valley Primary Care Of Poteau, LLC is 1043796626. It was assigned to this organization in the NPPES registry on July 17, 2018.

Where is River Valley Primary Care Of Poteau, LLC located?

River Valley Primary Care Of Poteau, LLC is located at 502 Dewey Ave, Poteau, OK 74953. The listed phone number is (504) 495-6772.

What is River Valley Primary Care Of Poteau, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for River Valley Primary Care Of Poteau, LLC was last updated on July 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.