| New River Service Authority | |
|
320 E Lee Ave Yadkinville NC 27055-8132 | |
| (336) 679-8805 | |
| (828) 262-5687 |
| Full Name | New River Service Authority |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 320 E Lee Ave, Yadkinville, North Carolina |
| Authorized Official Name and Position | Patricia P Andrews (CEO) |
| Authorized Official Contact | 3363724095 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New River Service Authority 895 State Farm Rd Suite 508 Boone NC 28607-4917 Ph: (828) 263-5666 | New River Service Authority 320 E Lee Ave Yadkinville NC 27055-8132 Ph: (336) 679-8805 |
| NPI Number | 1114197993 |
|---|---|
| Provider Enumeration Date | 03/07/2008 |
| Last Update Date | 03/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114197993 | NPI | - | NPPES |
| 2329286 | Other | NC | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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