MEDICARE: NEW RIVER SERVICE AUTHORITY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053512376
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW RIVER SERVICE AUTHORITY

Provider Business Mailing Address
First Line	:	895 STATE FARM RD
Second Line	:	SUITE 508
City	:	BOONE
State	:	NC
Zip	:	28607-4917
Country	:	US
Telephone Number	:	828-264-9007
Fax Number	:	828-262-5687

Provider Business Practice Location Address
First Line	:	351 RIVERSIDE DR
Second Line	:	SUITE 100
City	:	MOUNT AIRY
State	:	NC
Zip	:	27030-3878
Country	:	US
Telephone Number	:	336-783-0357
Fax Number	:	828-262-5687

Authorized Official
Title or Position	:	CEO
Name	:	MS. PATRICIA P ANDREWS
Credential	:	MA, LPC
Telephone Number	:	828-264-9007

Provider Enumeration Date	:	05/31/2007
Last Update Date	:	10/18/2007

Similar Medicare Providers

1740827492 — AMANDA DIXON
Practice Location Address:

3878 MOUNT PLEASANT ST NW APT E
NORTH CANTON, OH
44720-4778

Practice Phone: 330-714-8937
Practice Fax:

1366138018 — WELLSPRINGS HOME HEALTH CARE LLC
Practice Location Address:

1330 SMITH AVE STE 200
MOUNT WASHINGTON, MD
21209-3878

Practice Phone: 410-907-0622
Practice Fax: 667-239-1001

1053679118 — JACQUELINE F DORRY M.S. CCC-SLP
Practice Location Address:

711 W INDEPENDENCE BLVD
MOUNT AIRY, NC
27030-3576

Practice Phone: 855-983-0488
Practice Fax:

1619810272 — KAITLYN LEWIS
Practice Location Address:

910 WORTH ST
MOUNT AIRY, NC
27030-4458

Practice Phone: 336-786-5108
Practice Fax:

1932102407 — DR. ROBERT LEE SMITH MD
Practice Location Address:

830 ROCKFORD ST
MOUNT AIRY, NC
27030-5322

Practice Phone: 336-719-7124
Practice Fax: 336-719-7457

1528062940 — MR. JASON LINDSEY FERRIS PA-C
Practice Location Address:

314 S SOUTH ST STE 100
MOUNT AIRY, NC
27030

Practice Phone: 336-719-0011
Practice Fax: 336-719-0714

Directions to “NEW RIVER SERVICE AUTHORITY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.