Organization
NEW RIVER HEALTH ASSOCIATION, INC
Active
Other names
Richwood High School Based Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN R. SCHULTZ (CHIEF EXECUTIVE OFFICER)
(304) 469-2905
Entity
Organization
Contact information
Practice address
2 VALLEY AVE, RICHWOOD, WV 26261-1331
(304) 469-2905
(304) 469-2981
Mailing address
PO BOX 337, SCARBRO, WV 25917-0337
(304) 469-2905
(304) 465-5486
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
—
1346398401
—
WV
05
—
511966
—
WV
Enumeration date
09/14/2016
Last updated
09/16/2016
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