New River Health Association, Inc.
NPI #1003301912 in Fayetteville, West Virginia
Provider Information
- NPI Number
- 1003301912
- Entity Type
- Organization
- Organization Name
- New River Health Association, Inc.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- NEW RIVER HEALTH ASSOCIATION, INC.
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Jun 25, 2018
- Last Updated
- Oct 9, 2023
Practice Location
- Address
- 515 W MAPLE AVE
- City
- Fayetteville
- State
- West Virginia
- ZIP Code
- 25840-1419
- Phone
- (304) 469-2905
Authorized Official
- Name
- MARISSA JOHNSON
- Title
- CREDENTIALING OFFICER
- Phone
- (304) 469-2905
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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