FAYETTEVILLE PK-8 SCHOOL BASED HEALTH CENTER
NPI 1003301912
Clinic/Center - Federally Qualified Health Center (FQHC) in Fayetteville, WV
About Fayetteville Pk-8 School Based Health Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FAYETTEVILLE PK-8 SCHOOL BASED HEALTH CENTER (NPI 1003301912) is a healthcare organization registered as a federally qualified health center (fqhc) in Fayetteville, West Virginia and active in the NPI registry since June 2018. The organization holds a CLIA Waiver certificate valid through August 31, 2028 and lists Marissa Johnson, Credentialing Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Fayetteville Pk-8 School Based Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Fayetteville Pk-8 School Based Health Center, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 51D0235442
New River Health · Oak Hill, WVFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is New River Health Association, Inc.'s NPI number?
The NPI number for New River Health Association, Inc. is 1003301912. It was assigned to this organization in the NPPES registry on June 25, 2018. The provider is doing business as Fayetteville Pk-8 School Based Health Center.
Where is New River Health Association, Inc. located?
New River Health Association, Inc. is located at 515 W Maple Ave, Fayetteville, WV 25840. The listed phone number is (304) 469-2905.
What is New River Health Association, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is New River Health Association, Inc. enrolled in Medicare?
Yes. New River Health Association, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through New River Health Association, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to New River Health Association, Inc., in Clinical Social Worker, Nurse Practitioner and Oral Surgery. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does New River Health Association, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 51D0235442) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does New River Health Association, Inc. accept?
Health plans from CareSource and UnitedHealthcare list New River Health Association, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for New River Health Association, Inc. was last updated on October 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Fayetteville Pk-8 School Based Health Center · NPI 1003301912
Federally Qualified Health Center (FQHC) organization in Fayetteville, West Virginia. Organization record, active in the CMS NPPES registry since June 25, 2018.
## Identity
- **NPI:** 1003301912 (Entity type: Organization)
- **Enumerated:** June 25, 2018
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** New River Health Association, Inc.
- **Organization subpart:** Yes (part of New River Health Association, Inc.)
- **Authorized official:** Marissa Johnson, CREDENTIALING OFFICER
## Practice location
- **Address:** 515 W MAPLE AVE, Fayetteville, WV 25840-1419
- **Phone:** (304) 469-2905 · **Fax:** (304) 469-2981
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (1), Nurse Practitioner (1), Oral Surgery (1); 3 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 9, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1003301912) · Data from the CMS NPPES public registry.