Organization Active NPI

New River Service Authority

  • Community/Behavioral Health Agency
  • Newland, NC
National Provider Identifier
1255476271
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MHL006015 Issued in NC
Legal business name
NEW RIVER SERVICE AUTHORITY
Practice address
636 Cranberry St
Newland, NC 28657-8801
Phone
(828) 733-9236
Fax
(828) 262-5687
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Patricia P. Andrews, DIRECTOR
Title
Ceo
Phone
(828) 264-9007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MHL006015 NC Primary

Addresses

Primary practice location

636 Cranberry St
Newland, NC 28657-8801

Mailing address

895 State Farm Rd
Suite 508
Boone, NC 28607-4917
Phone (828) 264-9007

Other names 1

  • New River Behavioral HealthCare Doing business as

National Provider Directory

National Provider Directory
Tax ID family
New River Behavioral Healthcare10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255476271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "895 STATE FARM RD",
            "address_2": "SUITE 508",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286074917",
            "telephone_number": "828-264-9007",
            "fax_number": "828-262-5687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 CRANBERRY ST",
            "city": "NEWLAND",
            "state": "NC",
            "postal_code": "286578801",
            "telephone_number": "828-733-9236",
            "fax_number": "828-262-5687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW RIVER SERVICE AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDREWS",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "828-264-9007",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DIRECTOR"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL006015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New River Behavioral HealthCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newland, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.