Healthcare Provider Details

I. General information

NPI: 1841619467
Provider Name (Legal Business Name): NEW RIVER HEALTH ASSOCIATION, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2014
Last Update Date: 11/29/2022
Certification Date: 11/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

497 MALL RD STE A
OAK HILL WV
25901-6115
US

IV. Provider business mailing address

497 MALL RD
OAK HILL WV
25901-6115
US

V. Phone/Fax

Practice location:
  • Phone: 304-469-2905
  • Fax: 304-465-5486
Mailing address:
  • Phone: 304-469-2905
  • Fax: 304-465-5486

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number1036-9138
License Number StateWV

VIII. Authorized Official

Name: MR. JOHN R. SCHULTZ
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 304-469-2905