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Organization
NEW RIVER SERVICE AUTHORITY
Active
Organization
NEW RIVER SERVICE AUTHORITY
Active
Other names
New River Behavioral HealthCare
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA GAYLE BUCHANAN (PROVIDER PANEL MANAGER)
(828) 263-5666
Entity
Organization
Contact information
Practice address
132 POPLAR GROVE CONNECTOR, SUITE B, BOONE, NC 28607-5915
(828) 264-8759
(828) 262-5687
Mailing address
895 STATE FARM RD, SUITE 508, BOONE, NC 28607-4917
(828) 264-9007
(828) 262-5687
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MHL095041
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
081NN
BCBS
NC
05
—
6005960
—
NC
Enumeration date
06/24/2010
Last updated
06/24/2010
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