RIVER VALLEY PRIMARY CARE SERVICES
NPI 1861066250
Clinic/Center - Federally Qualified Health Center (FQHC) in Coal Hill, AR
About River Valley Primary Care Services NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RIVER VALLEY PRIMARY CARE SERVICES (NPI 1861066250), doing business as Coal Hill Family Clinic, is a healthcare organization registered as a federally qualified health center (fqhc) in Coal Hill, Arkansas and active in the NPI registry since May 2021. The organization lists Jerome J White, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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)
River Valley Primary Care Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 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 River Valley Primary Care Services, which bills Medicare for the services they deliver. Of these, 1 practice at this address. 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 1861066250. It was assigned to this organization in the NPPES registry on May 19, 2021. The provider is doing business as Coal Hill Family Clinic.
Where is River Valley Primary Care Services located?
River Valley Primary Care Services is located at 1273 Highway 64, Coal Hill, AR 72832. The listed phone number is (479) 279-7676.
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 January 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, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for River Valley Primary Care Services was last updated on May 19, 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.
# River Valley Primary Care Services · NPI 1861066250
Federally Qualified Health Center (FQHC) organization in Coal Hill, Arkansas. Organization record, active in the CMS NPPES registry since May 19, 2021.
## Identity
- **NPI:** 1861066250 (Entity type: Organization)
- **Enumerated:** May 19, 2021
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Also known as:** Coal Hill Family Clinic (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Jerome White, CEO
## Practice location
- **Address:** 1273 HIGHWAY 64, Coal Hill, AR 72832
- **Phone:** (479) 279-7676 · **Fax:** (479) 279-7678
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 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); 1 practice at this address; [full list](https://npiprofile.com/npi/1861066250/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 19, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1861066250) · Data from the CMS NPPES public registry.