RIVER VALLEY MEDICAL WELLNESS, LLC
NPI 1386268555
Clinic/Center - Multi-Specialty in Russellville, AR

Active since June 03, 2020CLIA 04D2213909 · Waiver
2600 W MAIN ST, RUSSELLVILLE, AR 72801(833) 479-6325 Get Directions Write a Review

NPPES record last updated: May 18, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 18, 2022, Jun 24, 2021, Jun 3, 2020 (3 updates tracked since 2020).

About River Valley Medical Wellness, Llc NPPES

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

RIVER VALLEY MEDICAL WELLNESS, LLC (NPI 1386268555) is a healthcare organization registered as a multi-specialty in Russellville, Arkansas and active in the NPI registry since June 2020. The organization holds a CLIA Waiver certificate valid through February 16, 2027 and lists Kristin Martin, Provider, as its authorized official.

NPPES Registry Identity

NPI1386268555
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameRIVER VALLEY MEDICAL WELLNESS, LLC
Location Address2600 W MAIN STRussellville, AR 72801-2535
Mailing Address12811 Saint Charles BlvdLittle Rock, AR 72211-2105
Organization SubpartNo
Authorized OfficialKristin MartinProvider · (833) 479-6325
Enumeration DateJune 3, 2020
Last NPPES UpdateMay 18, 20223 updates tracked since enumeration
NPPES CertifiedMay 18, 2022
NPI 1386268555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedFamily MedicineTaxonomy 207Q00000X
2600 W MAIN ST, Russellville, AR 72801

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

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 of Waiver 04D2213909

River Valley Medical Wellness LLC · Russellville, AR
Active · expires Feb 16, 2027
CLIA Number04D2213909
Laboratory TypeMobile Laboratory
Certificate Effective DateFebruary 17, 2025
Certificate Expiration DateFebruary 16, 2027
Laboratory DirectorDr. Kristin Martin
Laboratory Phone(833) 479-4325
Laboratory LocationRiver Valley Medical Wellness LLC2600 West Main Street, Russellville, AR 72801
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

Nurse Practitioner (Family)
2600 W MAIN ST
RUSSELLVILLE, AR 72801
Counselor (Mental Health)
2600 W MAIN ST
RUSSELLVILLE, AR 72801
Nurse Practitioner (Psychiatric/Mental Health)
2600 W MAIN ST
RUSSELLVILLE, AR 72801
Nurse Practitioner (Family)
2600 W MAIN ST
RUSSELLVILLE, AR 72801
Family Medicine (Addiction Medicine)
2600 W MAIN ST
RUSSELLVILLE, AR 72801
Nurse Practitioner (Family)
2600 W MAIN ST
RUSSELLVILLE, AR 72801

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 Medical Wellness, LLC's NPI number?

The NPI number for River Valley Medical Wellness, LLC is 1386268555. It was assigned to this organization in the NPPES registry on June 3, 2020.

Where is River Valley Medical Wellness, LLC located?

River Valley Medical Wellness, LLC is located at 2600 W Main St, Russellville, AR 72801. The listed phone number is (833) 479-6325.

What is River Valley Medical Wellness, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does River Valley Medical Wellness, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2213909) is associated with this NPI, valid through February 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does River Valley Medical Wellness, LLC 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 2 other insurers list River Valley Medical Wellness, LLC 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 Medical Wellness, LLC was last updated on May 18, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.