MULBERRY FAMILY CLINIC
NPI 1275766909
Clinic/Center - Federally Qualified Health Center (FQHC) in Mulberry, AR
About Mulberry Family Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MULBERRY FAMILY CLINIC (NPI 1275766909) is a healthcare organization registered as a federally qualified health center (fqhc) in Mulberry, Arkansas and active in the NPI registry since August 2009. The organization holds a CLIA Microscopy certificate valid through September 23, 2027 and lists Jerome White, C.e.o., as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Accepted Insurance
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) 04D0469327
Mulberry Family Clinic River Valley Primary Care Services Inc. · Mulberry, AROther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Services's NPI number?
The NPI number for River Valley Primary Care Services is 1275766909. It was assigned to this organization in the NPPES registry on August 28, 2009. The provider is doing business as Mulberry Family Clinic.
Where is River Valley Primary Care Services located?
River Valley Primary Care Services is located at 421 N. Main Street, Mulberry, AR 72947. The listed phone number is (479) 997-1484.
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.
Does River Valley Primary Care Services hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 04D0469327) is associated with this NPI, valid through September 23, 2027. 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 from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 5 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 March 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Mulberry Family Clinic · NPI 1275766909
Federally Qualified Health Center (FQHC) organization in Mulberry, Arkansas. Organization record, active in the CMS NPPES registry since August 28, 2009.
## Identity
- **NPI:** 1275766909 (Entity type: Organization)
- **Enumerated:** August 28, 2009
- **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, C.E.O.
## Practice location
- **Address:** 421 N. MAIN STREET, Mulberry, AR 72947
- **Phone:** (479) 997-1484
## Record status
- **NPPES last updated:** March 8, 2022
- **Other identifiers:** Medicaid 771108449 (AR); Medicaid 180401749 (AR)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1275766909) · Data from the CMS NPPES public registry.