RIVER VALLEY MEDICAL CENTER FAMILY CLINIC LLC
NPI 1245437490
Clinic/Center - Rural Health in Dardanelle, AR

NPI Status: Active since June 29, 2007

Contact Information

1652 STATE HIGHWAY 22 W
DARDANELLE, AR
ZIP 72834
Phone: (318) 629-5321
Fax: (318) 629-5321

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  • Organization
  • Clinic/Center
  • Rural Health
  • CLIA Number: 04D1061469
  • CLIA Cert. Type: Other
  • CLIA Exp. Date: 11-16-2026

About RIVER VALLEY MEDICAL CENTER FAMILY CLINIC LLC

This page provides the complete NPI Profile along with additional information for River Valley Medical Center Family Clinic Llc, a primary care provider established in Dardanelle, Arkansas operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1245437490 assigned on June 2007. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated 19 years ago. The authorized official of this NPI record is Mr. Rock Bordelon (Ceo President)

NPI
1245437490
Provider Name
RIVER VALLEY MEDICAL CENTER FAMILY CLINIC LLC
Entity Type
Organization
Location Address
1652 STATE HIGHWAY 22 W DARDANELLE, AR 72834
Location Phone
(318) 629-5321
Location Fax
(318) 629-5321
Mailing Address
504 TEXAS ST STE 200 SHREVEPORT, LA 71101
Mailing Phone
(318) 629-5321
Mailing Fax
(318) 629-5321
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-29-2007
Last Update Date
08-03-2007
Code Navigator

A primary care provider (PCP) like River Valley Medical Center Family Clinic Llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rural Health

Taxonomy Code
261QR1300X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. ROCK BORDELON

Authorized Official Title
CEO PRESIDENT
Authorized Official Phone
(318) 226-8202

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
04D1061469
Facility Type
Other
Certificate Effective Date
November 17, 2024
Certificate Expiration Date
November 16, 2026
Laboratory Director
JANES M. CARTER
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to River Valley Medical Center Family Clinic Llc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1245437490, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
4
Doubled → 8
Pos 4
5
Unchanged
Pos 5
4
Doubled → 8
Pos 6
3
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
4
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 4 → 8 7 → 14 → 5 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 8 + 5 + 8 + 3 + 1 + 4 + 4 + 1 + 8 + 24 = 70

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 70 is 70. The difference is the calculated check digit.

70 - 70 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1245437490.

Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Physician Assistant (Medical)
1652 STATE HIGHWAY 22 W
DARDANELLE, AR 72834
Nurse Practitioner (Family)
1652 STATE HIGHWAY 22 W
DARDANELLE, AR 72834
Physician Assistant
1652 STATE HIGHWAY 22 W
DARDANELLE, AR 72834
Physician Assistant (Medical)
1652 STATE HIGHWAY 22 W
DARDANELLE, AR 72834
Nurse Practitioner (Family)
1652 STATE HIGHWAY 22 W
DARDANELLE, AR 72834
Preferred Provider Organization
1652 STATE HIGHWAY 22 W
DARDANELLE, AR 72834
Family Medicine
1652 STATE HIGHWAY 22 W
DARDANELLE, AR 72834
Nurse Practitioner (Family)
1652 STATE HIGHWAY 22 W
DARDANELLE, AR 72834
Nurse Practitioner (Family)
1652 STATE HIGHWAY 22 W
DARDANELLE, AR 72834

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245437490, enumerated as an "organization" on June 29, 2007.

The provider is located at 1652 STATE HIGHWAY 22 W DARDANELLE, AR 72834 and the phone number is (318) 629-5321.

Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.