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General NPI Number Information
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NPI Number | 1821083072
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Entity Type | Organization
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Legal Business Name | NEW RIVER HEALTH ASSOCIATION, INC.
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Dates
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Enumeration Date | 09/14/2005
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Last Update Date | 10/09/2023
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Provider Practice Location Address
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Address Line | 221 W MAPLE AVE
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City | FAYETTEVILLE
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State | WV
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Zip | 25840-1413
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Country | US
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Telephone | 304-574-3960
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Fax | 304-574-2179
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Provider Business Mailing Address
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Address Line | 497 MALL RD
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City | OAK HILL
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State | WV
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Zip | 25901-6216
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | JOHN R. SCHULTZ
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Credential |
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Telephone | 304-469-2905
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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