Organization
NEW RIVER HEALTH ASSOCIATION, INC
Active
Parent organization
NEW RIVER HEALTH ASSOCIATION, INC.
Other names
New River Intermediate School Based Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEW RIVER HEALTH ASSOCIATION, INC.
Authorized official
MARISSA JOHNSON (CREDENTIALING OFFICER)
(304) 469-2905
Entity
Organization
Contact information
Practice address
262 OYLER AVENUE, OAK HILL, WV 25901-2639
(304) 465-2171
(304) 465-2173
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
—
0035165000
—
WV
05
—
3810020556
—
WV
Enumeration date
06/19/2009
Last updated
10/09/2023
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