NEW RIVER HEALTH ASSOCIATION INC (NPI# 1730174988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730174988 |
| Entity Type | Organization |
| Organization Name | NEW RIVER HEALTH ASSOCIATION INC |
| Other Organization Name | GULF FAMILY PRACTICE |
| Practice Address |
410 W Main St Sophia WV 25921 |
| Mailing Address |
Po Box 337 Scarbro WV 25917-0337 |
| Practice Telephone | 3046834304 |
| Practice Fax Number | 3046834307 |
| Mailing Telephone | 3046834304 |
| Mailing Fax Number | 3046834307 |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2013-04-12 |
| Authorized Official Name | JOHN R. SCHULTZ (EXECUTIVE DIRECTOR) |
| 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) |
1036-9138 | WV | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0034323000 | 05 |
| Other Name | Type Code |
|---|---|
| Gulf Family Practice | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235436478 | New River Health Association Inc | Clinic/Center | 900 Independence Road, Coal City, WV 25823-1240 | 2011-02-24 |
| 1710035860 | New River Health Association Inc | Clinic/Center | 350 W Oyler Avenue, Oak Hill, WV 25901-2176 | 2007-01-08 |
| 1346398401 | New River Health Association Inc | Clinic/Center | 190 Riverside Drive, Richwood, WV 26261 | 2007-01-08 |
| 1831246362 | New River Health Association Inc | Clinic/Center | 601 Jones Avenue, Oak Hill, WV 25901-2099 | 2007-01-05 |
| 1447245600 | New River Health Association Inc | Clinic/Center | 57 Sutphin Ln, Scarbro, WV 25917-8817 | 2005-09-14 |
| 1427043603 | New River Health Association Inc | Clinic/Center | 735 Beards Frk, Robson, WV 25173-9725 | 2005-09-14 |
| 1689669855 | New River Health Association Inc | Clinic/Center | 30 Grizzley Road, Summersville, WV 26651-9736 | 2005-09-14 |
| 1598210338 | New River Health Association Inc | Pharmacy | 217 W Maple Ave, Fayetteville, WV 25840-1413 | 2016-08-22 |
| 1366749509 | New River Health Association Inc | Clinic/Center | 850 Independence Road, Coal City, WV 25823-1595 | 2011-02-24 |
| 1346426103 | New River Health Association Inc | Clinic/Center | 75 Spy Rock Loop Road, Lookout, WV 25868 | 2008-01-11 |
| Street Address |
410 W MAIN ST |
| City | SOPHIA |
| State | WV |
| Zip Code | 25921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922091669 | Catherine R Seangio | Family Medicine | 410 W Main St, Sophia, WV 25921 | 2005-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152510 | Cortney Louise Lacy | Technician | 234 East Railroad Ave, Sophia, WV 25921 | 2020-10-20 |
| 1952909889 | April Chapman | Technician | 141 Leona Dr, Sophia, WV 25921 | 2020-10-13 |
| 1205445400 | Alesia Marie Basham | Technician | 216 Blue Room Rd, Sophia, WV 25921 | 2020-07-24 |
| 1104435304 | Shannon T. Linville | Technician | 304 W. Railroad Ave., Apt.2, Sophia, WV 25921 | 2020-07-24 |
| 1073077194 | James Kincaid | Pharmacist | 837 Robert C. Byrd Drive, Sophia, WV 25921 | 2019-01-23 |
| 1912472069 | Lester Square Pharmacy | Pharmacy | 837 Robert C Byrd Dr, Sophia, WV 25921 | 2018-10-04 |
| 1609194505 | New River Health Association, Inc. | Pharmacy | 302 W. Main St, Sophia, WV 25921 | 2010-05-17 |
| 1558590166 | A Place To Heal Inc | Physical Therapist | 106 W. Main Street, Sophia, WV 25921 | 2009-07-06 |
| 1023257599 | Jeremiah D Miller | Family Medicine | 302 W. Main St., Sophia, WV 25921 | 2009-02-06 |
| 1154585941 | Mary Jane Tudor | Technician/Technologist | 834 Robert C Byrd Drive Unit B, Sophia, WV 25921 | 2008-07-11 |
| Find all providers in zip 25921 | ||||
| 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 |
|---|---|---|---|---|
| 1851836225 | New River Health Association, Inc | Clinic/Center | 302 W Main Street, Sophia, WV 25921 | 2016-12-21 |
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| 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 | ||||
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| 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.