LAVACA WELLNESS CENTER
NPI 1902452345
Clinic/Center - Federally Qualified Health Center (FQHC) in Lavaca, AR

Active since August 12, 2019
603 S DIVISION ST, LAVACA, AR 72941(479) 431-2050(479) 431-2058 Get Directions Write a Review

NPPES record last updated: February 1, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 1, 2021, Aug 12, 2019 (2 updates tracked since 2019).

About Lavaca Wellness Center NPPES

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

LAVACA WELLNESS CENTER (NPI 1902452345) is a healthcare organization registered as a federally qualified health center (fqhc) in Lavaca, Arkansas and active in the NPI registry since August 2019. The organization lists Jerome J White, Ex. Director, as its authorized official.

NPPES Registry Identity

NPI1902452345
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameRIVER VALLEY PRIMARY CARE SERVICES
Location Address603 S DIVISION STLavaca, AR 72941-4129
Mailing AddressPo Box 130Ratcliff, AR 72951-0130 · (479) 431-2050 · Fax (479) 431-2058
Fax(479) 431-2058
Organization SubpartNo
Authorized OfficialJerome J WhiteEx. Director · (479) 431-2057
Enumeration DateAugust 12, 2019
Last NPPES UpdateFebruary 1, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 1, 2021
✔ NPI 1902452345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
603 S DIVISION ST, Lavaca, AR 72941

Other Names 1

Doing Business AsLavaca Wellness Center

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lavaca Wellness Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

42

Medicare enrollment records show 42 clinicians reassign Medicare billing to Lavaca Wellness Center, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 6 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Nurse Practitioner28
Family Practice9
Internal Medicine2
Pediatric Medicine2
Registered Dietitian or Nutrition Professional1

Nearest to this location (20)

See all 42
Nurse Practitioner
NPI 1780990408
603 S DIVISION ST
Lavaca, AR 72941
(479) 279-7700
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1275774440
603 S DIVISION ST
Lavaca, AR 72941
(479) 674-9181
✔ PECOS✔ Accepts MedicareSame address
Registered Dietitian or Nutrition Professional
NPI 1922885391
4003 MASSARD RD
Fort Smith, AR 72903
(479) 739-8101
✔ Accepts Medicare9.4 mi
Nurse Practitioner
NPI 1740820950
4003 MASSARD RD
Fort Smith, AR 72903
(479) 434-4747
✔ PECOS✔ Accepts Medicare9.4 mi
Family Practice
NPI 1174903389
4003 MASSARD RD
Fort Smith, AR 72903
(479) 434-4747
✔ PECOS✔ Accepts Medicare9.4 mi
Family Practice
NPI 1477134559
20 N ASTER ST
Greenwood, AR 72936
(479) 996-4111
✔ PECOS✔ Accepts Medicare9.5 mi
Internal Medicine
NPI 1891704227
7001 ROGERS AVE STE 200
Fort Smith, AR 72903
(479) 314-4600
✔ PECOS✔ Accepts Medicare10 mi
Nurse Practitioner
NPI 1821752825
5204 FRESNO ST
Fort Smith, AR 72903
(479) 252-9467
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1225213812
4620 ROGERS AVE
Fort Smith, AR 72903
(479) 384-5380
✔ PECOS✔ Accepts Medicare12 mi
Family Practice
NPI 1821027160
3700 CLIFF DR
Fort Smith, AR 72903
(479) 259-9286
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1730665449
4900 KELLEY HWY
Fort Smith, AR 72904
(479) 785-5700
✔ PECOS12 mi
Nurse Practitioner
NPI 1679104228
4900 KELLEY HWY
Fort Smith, AR 72904
(479) 785-5700
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1801526751
4900 KELLEY HWY
Fort Smith, AR 72904
(479) 785-5700
✔ PECOS✔ Accepts Medicare12 mi
Pediatric Medicine
NPI 1730186875
3800 ROGERS AVE SUITE 5
Fort Smith, AR 72903
(479) 785-2825
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1376007427
421 N MAIN ST
Mulberry, AR 72947
(479) 997-1484
✔ PECOS✔ Accepts Medicare13 mi
Nurse Practitioner
NPI 1376538090
3202 N 6TH ST
Fort Smith, AR 72904
(479) 783-3900
✔ PECOS✔ Accepts Medicare14 mi
Pediatric Medicine
NPI 1215376710
3203 N 6TH ST
Fort Smith, AR 72904
(479) 783-3900
✔ PECOS✔ Accepts Medicare14 mi
Family Practice
NPI 1124035993
9755 W ST HWY 22
Ratcliff, AR 72951
(479) 431-2050
✔ PECOS✔ Accepts Medicare17 mi
Internal Medicine
NPI 1528088846
9755 W STATE HIGHWAY 22
Ratcliff, AR 72951
(479) 635-5300
✔ PECOS✔ Accepts Medicare17 mi
Family Practice
NPI 1801996392
9755 W STATE HIGHWAY 22
Ratcliff, AR 72951
(479) 635-5300
✔ PECOS17 mi
See all 42 clinicians

Source: 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 1902452345. It was assigned to this organization in the NPPES registry on August 12, 2019. The provider is doing business as Lavaca Wellness Center.

Where is River Valley Primary Care Services located?

River Valley Primary Care Services is located at 603 S Division St, Lavaca, AR 72941. The listed phone number is (479) 431-2050.

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.

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, 2 practice at this address and 6 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 3 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 February 1, 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.