NPIMap

River Valley Primary Care Services

Organization Active NPI Federally Qualified Health Center (FQHC) · Paris, AR

NPI 1023978764 · NPPES record last updated Nov 14, 2025

Key facts

NPI
1023978764
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name
RIVER VALLEY PRIMARY CARE SERVICES
Practice address
2000 E Wood St
Paris, AR 72855-2621
Phone
(479) 270-5234
Fax
(479) 270-5235
NPI assigned
Nov 14, 2025
Organization subpart
No

Authorized official

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

Owned or controlled facilities with NPI records 3

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

Other NPIs with the same Medicare PAC ID 14

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

Corporate family (same tax ID) 19

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

Practitioners 39

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 39

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
04D2068648Paris School District Wellness Center
2000 E Wood Street, Paris, AR 72855		Certificate of waiverNov 6, 2027
04D2334517Paris Wellness Center
2000 E Wood St, Paris, AR 72855		Provider-performed microscopyNov 20, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled in AR

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
Government · Non-profit
Enrollment address
2000 East Wood Street
Paris, AR 72855-2621

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 Director
Board Member		 Sep 1, 2005
Robert Redding
Individual 		Corporate Director
Board Member		 Aug 1, 2013
Greg Swartz
Individual 		Corporate Director
Treasurer		 Apr 1, 2009
Sheila Peck
Individual 		Corporate Director
Board Member		 Dec 1, 2022
Gary O'Neal
Individual 		Corporate Director
Board President		 Sep 1, 2005
Jerome J White
Individual 		Corporate Director
Ceo		 Apr 4, 2005
W-2 Managing Employee
Ceo		 Apr 4, 2005
Bobby G McCartney
Individual 		Corporate Director
Board Member		 Jun 1, 2015
Mary Howard
Individual 		Corporate Director
Secretary		 May 1, 2006
Laura Bryant
Individual 		Corporate Director
Board Member		 Jun 1, 2021
Carmelita Adams
Individual 		Corporate Director
Board 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 Services
Waldron, AR · CCN 041940		 Federally qualified health center Operational/Managerial Control (100%) May 1, 2018
Clarksville Behavioral Health
Clarksville, AR · CCN 041987		 Federally qualified health center 5% Or Greater Indirect Ownership Interest Sep 20, 2021
River Valley Primary Care Services
Coal Hill, AR · CCN 041000		 Federally qualified health center Operational/Managerial Control (100%) Dec 6, 2021

Medicare enrollment records

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

National Provider Directory

Tax ID family
River Valley Primary Care Services (20 organizations share this tax ID)

Specialties & licenses

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

Addresses

Primary practice location

2000 E Wood St
Paris, AR 72855-2621

Mailing address

PO Box 130
Ratcliff, AR 72951-0130

Other names

  • Paris Wellness Center Doing business as

Other providers in Paris, AR

All providers in Paris, AR · Federally Qualified Health Center (FQHC) in Arkansas

Sources for this page

Verify at the official NPI Registry.