| NPI | 1619232295 |
|---|---|
| Doing Business As | RVPCS - EASTSIDE FAMILY CLINIC |
| Entity Type | Organization |
| Authorized Contact | JEROME J WHITE Ex. Director 479-431-2057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2021-08-16 |