RVPCS - EASTSIDE FAMILY CLINIC
NPI 1619232295
Clinic/Center - Federally Qualified Health Center (FQHC) in Fort Smith, AR
About Rvpcs - Eastside Family Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RVPCS - EASTSIDE FAMILY CLINIC (NPI 1619232295) is a healthcare organization registered as a federally qualified health center (fqhc) in Fort Smith, Arkansas and active in the NPI registry since July 2012. The organization lists Jerome J White, Ex. Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Rvpcs - Eastside Family Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
42Medicare enrollment records show 42 clinicians reassign Medicare billing to Rvpcs - Eastside Family Clinic, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 17 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.
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 1619232295. It was assigned to this organization in the NPPES registry on July 10, 2012. The provider is doing business as Rvpcs - Eastside Family Clinic.
Where is River Valley Primary Care Services located?
River Valley Primary Care Services is located at 4003 Massard Rd, Fort Smith, AR 72903. The listed phone number is (479) 434-4747.
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.
When is River Valley Primary Care Services's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Arkansas, Federally Qualified Health Center (FQHC)) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
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 17 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 4 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 August 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 - Eastside Family Clinic · NPI 1619232295
Federally Qualified Health Center (FQHC) organization in Fort Smith, Arkansas. Organization record, active in the CMS NPPES registry since July 10, 2012.
## Identity
- **NPI:** 1619232295 (Entity type: Organization)
- **Enumerated:** July 10, 2012
- **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, EX. DIRECTOR
## Practice location
- **Address:** 4003 MASSARD RD, Fort Smith, AR 72903-6221
- **Phone:** (479) 434-4747 · **Fax:** (479) 434-4949
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Part A, Arkansas, Federally Qualified Health Center (FQHC)) · CMS Revalidation Due Date List, October 2026 release
- **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 17 within 10 miles; [full list](https://npiprofile.com/npi/1619232295/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 16, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1619232295) · Data from the CMS NPPES public registry.