NEW RIVER HEALTH ASSOCIATION, INC. (NPI# 1003301912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003301912 |
| Entity Type | Organization |
| Organization Name | NEW RIVER HEALTH ASSOCIATION, INC. |
| Other Organization Name | FAYETTEVILLE PK-8 SCHOOL BASED HEALTH CENTER |
| Practice Address |
515 W Maple Ave Fayetteville WV 25840-1419 |
| Mailing Address |
P.o. Box 337 Scarbro WV 25917 |
| Practice Telephone | 3044692905 |
| Practice Fax Number | 3044692981 |
| Mailing Telephone | 3044692905 |
| Mailing Fax Number | 3044651518 |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2020-01-30 |
| Authorized Official Name | MARISSA JOHNSON (CREDENTIALING OFFICER) |
| Authorized Official Telephone | 3044692905 |
| Is Organization Subpart | Y |
| Parent Organization Name | NEW RIVER HEALTH ASSOCIATION, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
WV | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Fayetteville High Sch Based Health Center | Doing Business As Name - Organization |
| Fayetteville PK-8 School Based Health Center | Doing Business As Name - Organization |
| Fayetteville PreK-8 School Based Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689220402 | New River Health Association, Inc. | Clinic/Center | 2 Greyhound Ln., Smithers, WV 25186 | 2019-08-16 |
| 1457846362 | New River Health Association, Inc. | Clinic/Center | 320 W Oyler Ave, Oak Hill, WV 25901-2174 | 2018-06-25 |
| 1609194505 | New River Health Association, Inc. | Pharmacy | 302 W. Main St, Sophia, WV 25921 | 2010-05-17 |
| 1952332496 | New River Health Association, Inc. | Clinic/Center | 204 S Mountain Ave, Mount Hope, WV 25880-1129 | 2006-07-05 |
| 1982233235 | New River Health Association, Inc. | Pharmacy | 2 Greyhound Ln., Smithers, WV 25186 | 2020-04-07 |
| 1518596865 | New River Health Association, Inc. | Pharmacy | 2 Greyhound Ln., Smithers, WV 25186 | 2020-04-07 |
| 1407394646 | New River Health Association, Inc. | Clinic/Center | 400 Fairview Heights Road, Suite 201, Summerville, WV 26651 | 2017-02-08 |
| 1841619467 | New River Health Association, Inc. | Clinic/Center | 908 Scarbro Road, Suite A, Scarbro, WV 25917 | 2014-04-10 |
| 1225272214 | New River Health Association, Inc. | Clinic/Center | 1614 S Kanawha St, Beckley, WV 25801-6239 | 2009-04-22 |
| Street Address |
515 W MAPLE AVE |
| City | FAYETTEVILLE |
| State | WV |
| Zip Code | 25840-1419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447766639 | Nancy Carol Myles | Technician | 171 Wood Rd, Fayetteville, WV 25840 | 2017-12-26 |
| 1598933954 | Kembra Anne Crist | Registered Nurse | 111 Fayette Avenue, Fayette County Boe, Fayetteville, WV 25840 | 2008-02-19 |
| 1003004854 | Edward Lee Winter | Psychologist | 111 Fayette Ave., Fayette County Schools, Fayetteville, WV 25840 | 2007-10-05 |
| 1811109432 | Anita Louise Swanson | Physical Therapist | 111 Fayette Ave, Fayetteville, WV 25840 | 2007-05-04 |
| 1003964008 | Krista L Copenhaver-mackowiak | Nurse Anesthetist, Certified Registered | 613 Crooked Run Rd, Fayetteville, WV 25840 | 2007-01-08 |
| 1922171024 | Carl Arthur Hansen | Dentist | 215 North Court St, Fayetteville, WV 25840 | 2006-11-16 |
| 1932202447 | Appalachian Regional Healthcare | Clinic/Center | 436 Elizabeth Way, Fayetteville, WV 25840 | 2006-09-07 |
| 1154424810 | West Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 72 Whitewater Ave, Fayetteville, WV 25840 | 2006-09-07 |
| 1447241310 | Karen L. Pettry-hultman | Family Medicine | Rr 3 Box 9, Fayetteville, WV 25840 | 2005-10-31 |
| 1598125577 | Jeanne Black | Registered Nurse | 111 Fayette Avenue, Fayette County Schools, Fayetteville, WV 25840 | 2016-03-03 |
| Find all providers in zip 25840 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740578897 | St Francis House Nwa, Inc | Clinic/Center | 375 N Rupple Rd, Fayetteville, AR 72704-6110 | 2011-07-11 |
| 1083134092 | Community Health Interventions, Inc | Clinic/Center | 2409 Murchison Rd, Fayetteville, NC 28301-3519 | 2017-06-21 |
| 1013384288 | St Francis House Nwa, Inc | Clinic/Center | 3162 W Martin Luther King Blvd, Suites 13 & 14, Fayetteville, AR 72704-7684 | 2015-08-24 |
| 1215366216 | Goshen Medical Center, Inc. | Clinic/Center | 3613 Cape Center Dr, Fayetteville, NC 28304-4457 | 2013-11-11 |
| 1821083072 | New River Health Association, Inc | Clinic/Center | 221 W Maple Ave, Fayetteville, WV 25840-1413 | 2005-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801493499 | Camden On Gauley Medical Center Inc | Clinic/Center | 52 Florence Street, Ansted, WV 25812 | 2020-10-06 |
| 1194339309 | Community Care of West Virginia, Inc. | Clinic/Center | 33 E Victoria St, Buckhannon, WV 26201-2671 | 2020-09-04 |
| 1063048189 | Community Care of West Virginia, Inc. | Clinic/Center | 34 N Kanawha St, Buckhannon, WV 26201-2714 | 2020-03-20 |
| 1619503422 | Change Inc | Clinic/Center | 114 Taylor Ave, Weirton, WV 26062-4635 | 2020-03-13 |
| 1861023699 | Logan-mingo Area Mental Health, Inc | Clinic/Center | 2954 Buffalo Creek Road, Chattaroy, WV 25667 | 2020-01-30 |
| 1689220402 | New River Health Association, Inc. | Clinic/Center | 2 Greyhound Ln., Smithers, WV 25186 | 2019-08-16 |
| 1740836873 | Williamson Health & Wellness Center Inc | Clinic/Center | 5 Parkway Dr, Williamson, WV 25661-3428 | 2019-08-14 |
| 1699321729 | Williamson Health & Wellness Center Inc | Clinic/Center | 50 Panther Blvd, Williamson, WV 25661-7441 | 2019-08-14 |
| 1083260129 | Williamson Health & Wellness Center Inc | Clinic/Center | 300 Blue Devil Lane, Kermit, WV 25661 | 2019-08-14 |
| 1225684731 | Williamson Health & Wellness Center Inc | Clinic/Center | 1000 King Coal Hwy, Delbarton, WV 25670-9529 | 2019-08-12 |
| Find all providers with the same taxonomy | ||||
| City | FAYETTEVILLE |
| Zip Code | 25840 |
Please comment or provide details below to improve the information on NEW RIVER HEALTH ASSOCIATION, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.