Organization Name: | NEW RIVER HEALTH ASSOCIATION, INC. |
NPI Number: | 1952332496 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN R. SCHULTZ (EXECUTIVE DIRECTOR) |
Mailing Address: | 204 S Mountain Ave Mount Hope |
State: | WV US |
Postal Code: | 258801129 |
Phone Number: | 3048779133 |
Fax Number: | 3048772165 |
NPI Enumeration Date: | 07/05/2006 |
NPI Last Update Date: | 05/09/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QF0400X |
License Number: | 1036-9138 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
Taxonomy Definition: |