NEW RIVER HEALTH ASSOCIATION INC. NPI 1003301912

NPI Information

NEW RIVER HEALTH ASSOCIATION, INC. is a federally qualified health center (fqhc) clinic center in Fayetteville, WV. NEW RIVER HEALTH ASSOCIATION, INC. NPI is 1003301912. The provider is registered as an organization entity type.
The provider Is Doing Business As Fayetteville Pk-8 School Based Health Center.

The provider's business location address is:

515 W MAPLE AVE
FAYETTEVILLE, WV
ZIP 25840-419
Phone: (304) 469-2905
Fax: (304) 469-2981

The provider's authorized official is Marissa Johnson .
The authorized official title is Credentialing Officer and has the following contact phone number (304) 469-2905.

The CLIA number assigned to this NPI record is 51D0235442 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/25/2018 and was last updated on 10/9/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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