Independence School Based Health Center

LBN: New River Health Association, Inc.
Independence School Based Health Center is an health care organization with primary practice located at 850 Independence Road , Coal City WV 25823-1595. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. New River Health Association, Inc. can be contacted via phone (304) 683-6905, or through Schultz, John R. via phone (304) 469-2905.

Contact Information

Primary practice address
850 Independence Road Coal City WV 25823-1595
Fax: (304) 683-6906
Website:
Authorized official contact:
Name: Schultz, John R.

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X 1036-9138 West Virginia

Profile Details

NPI number 1366749509
LBN Legal business name New River Health Association, Inc.
DBA Doing business as Independence School Based Health Center
Authorized official Schultz, John R.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 24th, 2011
Last updated Oct 9th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366749509 NPPES
West Virginia MEDICAID 3810020919

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