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NEW RIVER HEALTH ASSOCIATION INC. NPI 1225272214


NPI Information

NPI: 1225272214
Provider Name: NEW RIVER HEALTH ASSOCIATION, INC.

Doing Business As: LIVING WELL ELDER CARE CLINIC

Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
1614 S KANAWHA ST
BECKLEY, WV
ZIP 25801
Phone: (304) 763-7723
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NEW RIVER HEALTH ASSOCIATION, INC. is a health service clinic center in Beckley, WV. NEW RIVER HEALTH ASSOCIATION, INC. NPI is 1225272214. The provider is registered as an organization entity type.
The provider Is Doing Business As Living Well Elder Care Clinic.

The provider's business location address is:

1614 S KANAWHA ST
BECKLEY, WV
ZIP 25801-239
Phone: (304) 763-7723

The provider's authorized official is Dave Sotak .
The authorized official title is Executive Director and has the following contact phone number (304) 469-2905.

The enumeration date for this NPI number is 4/22/2009 and was last updated on 11/11/2009.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QH0100XClinic/CenterHealth Service1036-9138WEST VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
19160134MEDICARE PINWEST VIRGINIA
215905MEDICARE PINWEST VIRGINIA
31036-9138OTHERWEST VIRGINIASTATE LICENSE
49160134MEDICARE OSCAR/CERTIFICATIONWEST VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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