Organization · Type 2 NPI

New River Health Association, Inc.

Federally Qualified Health Center (FQHC) · Fayetteville, WV

NPI number 1003301912 Active

Practice location

515 W Maple Ave
Fayetteville, WV 25840-1419

Call (304) 469-2905 Map

Fax (304) 469-2981

Mailing address

497 Mall Rd
Oak Hill, WV 25901-6216

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

Other federally qualified health center (fqhc) providers in Fayetteville

Community Health Systems Inc.Federally Qualified Health Center (FQHC) Fayetteville, WV NPI 1073506465

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NPI record

NPI: 1003301912
Entity type: Organization (Type 2)
Issued: Jun 25, 2018
Last updated: Oct 9, 2023
Status: Active
Subpart: Yes of New River Health Association, Inc.

Other names

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Fayetteville Pk-8 School Based Health Center · doing business as

Authorized official

Marissa Johnson
Credentialing Officer
(304) 469-2905

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1003301912

New River Health Association, Inc.'s National Provider Identifier is 1003301912, issued on Jun 25, 2018. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Fayetteville, WV. The record was last updated on Oct 9, 2023.