River Valley Medical Center Family Clinic LLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

RIVER VALLEY MEDICAL CENTER FAMILY CLINIC LLC

Practice address

1652 State Highway 22 W
Dardanelle, AR 72834-2909

Phone

(318) 629-5321

Fax

(318) 629-5321

NPI assigned

Jun 29, 2007

Last updated

Aug 3, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Rock Bordelon

Title

Ceo President

Phone

(318) 226-8202

Specialties & licenses 1

Addresses

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Allan K Kirkland, MD

  • Family Medicine Physician
  • Dardanelle, AR
  • NPI 1356328520
  NPD
• Mylinda Ann Hall, FNP

  • Family Nurse Practitioner
  • Branford, FL
  • NPI 1245224047
  NPD (past)
• Jennifer F Tidwell, CRNP

  • Nurse Practitioner
  • Montgomery, AL
  • NPI 1205335999
  NPD (past)

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186099200000",
    "number": "1245437490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 TEXAS ST STE 200",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711013526",
            "telephone_number": "318-629-5321",
            "fax_number": "318-226-2805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1652 STATE HIGHWAY 22 W",
            "city": "DARDANELLE",
            "state": "AR",
            "postal_code": "728342909",
            "telephone_number": "318-629-5321",
            "fax_number": "318-629-5321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER VALLEY MEDICAL CENTER FAMILY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-29",
        "last_updated": "2007-08-03",
        "status": "A",
        "authorized_official_last_name": "BORDELON",
        "authorized_official_first_name": "ROCK",
        "authorized_official_title_or_position": "CEO PRESIDENT",
        "authorized_official_telephone_number": "318-226-8202",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn I Parker, M.D.
• Russell Pearson, D.C.
• Hunter Augustus Ramey, MD, MPH
• Rehoboth, Incorporated (The Home Place)
• Restoring Hope Consulting and Social Work, P.a.
• Taylor Roden
• Diedra Anne Rogers
• Kaci Rood, PHARM D
• Rose Drug of Dover, Inc (Berry Drug of Dardanelle)
• Rose Drug of Dover, Inc (Berry Drug of Dardanelle)

• Rural Health Clinic/Center in Dardanelle, AR
• Providers in Dardanelle, AR by specialty
• Rural Health Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.