MEDICARE: NEW RIVER HEALTH ASSOCIATION, INC.

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	261QF0400X	Federally Qualified Health Center (FQHC)	1036-9138	WV

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

General Provider Information

NPI Number	:	1366749509
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW RIVER HEALTH ASSOCIATION, INC.

Provider Business Mailing Address
First Line	:	497 MALL RD
Second Line	:
City	:	OAK HILL
State	:	WV
Zip	:	25901-6216
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	850 INDEPENDENCE ROAD
Second Line	:
City	:	COAL CITY
State	:	WV
Zip	:	25823-1595
Country	:	US
Telephone Number	:	304-683-6905
Fax Number	:	304-683-6906

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	JOHN R. SCHULTZ
Credential	:
Telephone Number	:	304-469-2905

Provider Enumeration Date	:	02/24/2011
Last Update Date	:	10/09/2023

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