Organization
NEW RIVER HEALTH ASSOCIATION, INC.
Active
Other names
Independence School Based Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN R. SCHULTZ (EXECUTIVE DIRECTOR)
(304) 469-2905
Entity
Organization
Contact information
Practice address
850 INDEPENDENCE ROAD, COAL CITY, WV 25823-1595
(304) 683-6905
(304) 683-6906
Mailing address
497 MALL RD, OAK HILL, WV 25901-6216
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
1036-9138
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810020919
—
WV
Enumeration date
02/24/2011
Last updated
10/09/2023
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