NPIMap

Organization Active NPI

River Valley Primary Care Services

Doing business as Paris Wellness Center

  • Federally Qualified Health Center (FQHC)
  • Paris, AR
National Provider Identifier
1023978764
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
RIVER VALLEY PRIMARY CARE SERVICES
Doing business as
Paris Wellness Center
Practice address
2000 E Wood St
Paris, AR 72855-2621
Phone
(479) 270-5234
Fax
(479) 270-5235
NPI assigned
Nov 14, 2025
Last updated
Nov 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nikki Leann McKinney
Title
Business Development
Phone
(479) 431-2057

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

2000 E Wood St
Paris, AR 72855-2621

Mailing address

PO Box 130
Ratcliff, AR 72951-0130

Other names 1

  • Paris Wellness Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260317004531 AR Part A Provider - Federally Qualified Health Center (FQHC) 0042274276 Practice locations: Paris, AR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1023978764. Details of each certification follow.

Federally qualified health center certification: CCN 041099

Legal name
RIVER VALLEY PRIMARY CARE SERVICES
Doing business as
PARIS WELLNESS CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 16, 2026
Last certification
Mar 16, 2026
Ownership / control type
For profit – corporation
Organization structure
GovernmentNon-profit
Enrollment address
2000 East Wood Street
Paris, AR 72855-2621

Other NPIs with the same Medicare PAC ID 14

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 14

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
04D2068648Paris School District Wellness Center2000 E Wood Street, Paris, AR 72855Certificate of waiverNov 6, 2027
04D2334517Paris Wellness Center2000 E Wood St, Paris, AR 72855Provider-performed microscopyNov 20, 2027

National Provider Directory

National Provider Directory
Tax ID family
River Vly Primary Care SVCS20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

Organizations that report the same tax identification number in the National Provider Directory.

View all 19

Ownership & related parties

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Mark Luerssen Individual Corporate DirectorBoard Member Sep 1, 2005
Robert Redding Individual Corporate DirectorBoard Member Aug 1, 2013
Greg Swartz Individual Corporate DirectorTreasurer Apr 1, 2009
Sheila Peck Individual Corporate DirectorBoard Member Dec 1, 2022
Gary O'Neal Individual Corporate DirectorBoard President Sep 1, 2005
Jerome J White Individual Corporate DirectorCeo Apr 4, 2005
W-2 Managing EmployeeCeo Apr 4, 2005
Bobby G McCartney Individual Corporate DirectorBoard Member Jun 1, 2015
Mary Howard Individual Corporate DirectorSecretary May 1, 2006
Laura Bryant Individual Corporate DirectorBoard Member Jun 1, 2021
Carmelita Adams Individual Corporate DirectorBoard Vice President May 1, 2011

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
River Valley Primary Care ServicesWaldron, AR, CCN 041940 Federally qualified health center Operational/Managerial Control (100%) May 1, 2018
Clarksville Behavioral HealthClarksville, AR, CCN 041987 Federally qualified health center 5% Or Greater Indirect Ownership Interest Sep 20, 2021
River Valley Primary Care ServicesCoal Hill, AR, CCN 041000 Federally qualified health center Operational/Managerial Control (100%) Dec 6, 2021

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1763078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763078400000",
    "number": "1023978764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130",
            "city": "RATCLIFF",
            "state": "AR",
            "postal_code": "729510130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 E WOOD ST",
            "city": "PARIS",
            "state": "AR",
            "postal_code": "728552621",
            "telephone_number": "479-270-5234",
            "fax_number": "479-270-5235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER VALLEY PRIMARY CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-14",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A",
        "authorized_official_last_name": "MCKINNEY",
        "authorized_official_first_name": "NIKKI",
        "authorized_official_middle_name": "LEANN",
        "authorized_official_title_or_position": "BUSINESS DEVELOPMENT",
        "authorized_official_telephone_number": "479-431-2057"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paris Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Paris, AR

Sources for this page

Verify at the official NPI Registry.