The River: Health and Wellness Center
Quick Facts
| Practice Type | Direct Primary Care |
| Doctors | John Littlefield MD, FACEP, Family Medicine |
| Housecalls | Yes |
About
At The River: Health and Wellness Center in Swansea, MA, Dr. John Littlefield leads a direct primary care practice rooted in personal, compassionate medicine. The practice serves patients of all ages, from babies and children to adults and the elderly. A monthly membership covers annual physicals, sick visits, wellness checks, a nutrition consult, and access to a broader community of resources.
The River goes beyond standard primary care with a distinctive range of services. The practice offers Geriatric and Disability Mobile Care, bringing acute illness treatment, check-ins, and routine visits directly to patients at home. An in-house licensed Mental Health Clinician provides immediate crisis counseling for members. In-house X-ray imaging delivers fast results without long waits. Labs go to a local facility and bill through insurance. A 24/7 urgent line keeps members connected after hours. The River operates as a Faith Community Nursing Ministry of His Providence Church, and that commitment to whole-person care runs through everything it does.
Details
Address
262 Swansea Mall Dr., Swansea, MA 02777
Phone
(508) 343-8400Website
Visit websiteMembership Details
Monthly membership fee covers annual physical, sick visits, wellness checks, a nutrition consult and connects you to a community of resources.
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Frequently Asked Questions
A monthly membership gives you direct access to Dr. Littlefield and the full care team. Your membership covers your annual physical, sick visits, wellness checks, a nutrition consult, and connection to a community of health resources. There are no per-visit copays for these services.
The River recommends keeping health insurance for catastrophic care and imaging needs. However, the practice operates independently of insurance for membership services. Membership provides quality, relationship-based care that insurance alone does not guarantee.
Yes. The River serves patients across every stage of life, including babies, children, adults, and the elderly. Dr. Littlefield's family medicine background allows him to care for the whole family under one membership.
Yes. The River offers Geriatric and Disability Mobile Care for patients who need care at home. The team handles acute illness, routine visits, and wellness check-ins from the patient's home. A home health aide supports this service.
The River offers full laboratory access for members. The practice performs in-house X-ray imaging with immediate result interpretation. Lab work goes to a local facility and bills through your health insurance.
Yes. A licensed Mental Health Clinician is on staff and available to members through an in-house referral for immediate crisis counseling. For ongoing or general clinical counseling, The River refers members to RISE Counseling and Wellness.
Members access the patient portal to send and receive messages from the medical team. The portal also provides lab results, treatment plans, and health goal tracking. Members also have access to a 24/7 urgent line for after-hours needs.
Membership at The River covers annual physicals, sick visits, wellness checks, a nutrition consult, and access to community resources. The practice also provides in-house X-ray imaging, lab access, crisis counseling referrals, and mobile care for eligible patients.
You can start the membership process directly through The River's website. m. m. org.
Members communicate with the care team through the patient portal, which supports secure messaging, lab review, and treatment plan access. For urgent needs outside office hours, the practice provides a 24/7 on-call line for members.
Practice last updated April 10, 2026