WALDRON FAMILY CLINIC
NPI 1992212013
Clinic/Center - Federally Qualified Health Center (FQHC) in Waldron, AR

Active since January 10, 2018CLIA 04D2142818 · Microscopy
2074 RICE ROAD, WALDRON, AR 72958(479) 635-5300 Get Directions Write a Review

NPPES record last updated: February 1, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 1, 2021, Jul 11, 2018, Jan 10, 2018 (3 updates tracked since 2018).

About Waldron Family Clinic NPPES

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

WALDRON FAMILY CLINIC (NPI 1992212013) is a healthcare organization registered as a federally qualified health center (fqhc) in Waldron, Arkansas and active in the NPI registry since January 2018. The organization holds a CLIA Microscopy certificate valid through January 18, 2028 and lists Jerome J White, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1992212013
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameRIVER VALLEY PRIMARY CARE SERVICES
Location Address2074 RICE ROADWaldron, AR 72958
Mailing AddressPo Box 130Ratcliff, AR 72951-0130 · (479) 635-0091 · Fax (479) 635-2010
Organization SubpartNo
Authorized OfficialJerome J WhiteExecutive Director · (479) 635-0091
Enumeration DateJanuary 10, 2018
Last NPPES UpdateFebruary 1, 20213 updates tracked since enumeration
NPPES CertifiedFebruary 1, 2021
NPI 1992212013 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
2074 RICE ROAD, Waldron, AR 72958

Other Names 1

Doing Business AsWaldron Family Clinic

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) 04D2142818

Waldron Family Clinic · Waldron, AR
Active · expires Jan 18, 2028
CLIA Number04D2142818
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJanuary 19, 2026
Certificate Expiration DateJanuary 18, 2028
Laboratory DirectorDr. Nathan H. Bennett
Laboratory Phone(479) 635-5300
Laboratory LocationWaldron Family Clinic2074 Rice Road, Waldron, AR 72958
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

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

Nurse Practitioner
2074 RICE ROAD
WALDRON, AR 72958

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 1992212013. It was assigned to this organization in the NPPES registry on January 10, 2018. The provider is doing business as Waldron Family Clinic.

Where is River Valley Primary Care Services located?

River Valley Primary Care Services is located at 2074 Rice Road, Waldron, AR 72958. The listed phone number is (479) 635-5300.

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 04D2142818) is associated with this NPI, valid through January 18, 2028. 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 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.