Covered Entity Details

CH03260AC New River Health Association, Inc. (Terminated) - information as of 4/27/2025 12:53:36 AM

Main Details

Name

New River Health Association, Inc.

Subdivision Name

New River Health Medical Mall

Type

HRSA-Funded Health Center

Site ID

BPS-H80-032691

340B ID

CH03260AC

Grant Number

H80CS00075

Additional Details

Current Program Status

Terminated

Registration Date

4/11/2022

Participating Start Date

7/1/2022

Participating Approval Date

4/11/2022

Last Recertification Date

2/23/2024

Termination Date
Termination Reason

4/1/2024
Other

Contacts

Authorizing Official

New River Health Association
John R. Schultz, Chief Executive Officer
(304) 465-2274

Primary Contact

New River Health Association
Karen Reed, Director of Pharmacy
(304) 465-2273

Addresses

Street Address

497 Mall Rd
Oak Hill, WV 25901-6115

Billing Address
Same as Street Address

Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
History

Comments

Comment	Last Updated On
No records to display.

Medicaid Billing

At this site, will the covered entity bill Medicaid fee-for-service for drugs purchased at 340B prices?
Yes

State	Medicaid Number	NPI Number
WV	1386318756,1386005148,1518596865,1811983331,1851386031,1609194505,1013673219	1851386031,1609194505,1811983331,1386005148,1013673219,1386318756,1518596865

Shipping Addresses

Shipping Address 1

New River Health - Scarbro Pharmacy
908 Scarbro Road
Scarbro, WV 25917

Shipping Address 2

New River Health - Fayetteville Pharmacy
217 West Maple Avenue
Fayetteville, WV 25840

Shipping Address 3

New River Health - Sophia Pharmacy
302 West Main Street
Sophia, WV 25921

Shipping Address 4

New River Health - Smithers Pharmacy
2 Greyhound Lane
Smithers, WV 25186

Shipping Address 5

New River Health - Oak Hill Pharmacy
497 Mall Road
Oak Hill, WV 25901

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Carve-In Effective Date	Termination Date	Last Updated On
No records to display.

Grantee Sites

340B ID	340B Status	SiteId	Name	Sub Name	Address	City	State
CH032600	Active	BPS-H80-032691	New River Health Association, Inc.	New River Health Medical Mall	497 Mall Road	Oak Hill	WV
CH03260A	Terminated	BPS-H80-003632	NEW RIVER HEALTH ASSOCIATION, INC.	New River Health - Fayetteville	221 W Maple Ave	Fayetteville	WV
CH03260AA	Active	BPS-H80-031547	New River Health Association, Inc.	New River Health SBHC - Fayetteville	515 W Maple Ave	Fayetteville	WV
CH03260AB	Active	BPS-H80-033551	New River Health Association, Inc.	New River Health SBHC - New River Primary	308 W Oyler Ave	Oak Hill	WV
CH03260AC	Terminated	BPS-H80-032691	New River Health Association, Inc.	New River Health Medical Mall	497 Mall Rd	Oak Hill	WV
CH03260AD	Approved	BPS-H80-038195	NEW RIVER HEALTH ASSOCIATION INC	New River Health - Beckley	1804 Harper Rd, #A	Beckley	WV
CH03260AE	Approved	BPS-H80-038429	NEW RIVER HEALTH ASSOCIATION INC	New River Health Association - Welch	454 McDowell St	Welch	WV
CH03260B	Active	BPS-H80-008722	NEW RIVER HEALTH ASSOCIATION, INC.	New River Health - Sophia	302 West Main Street	Sophia	WV
CH03260C	Active	BPS-H80-010252	NEW RIVER HEALTH ASSOCIATION, INC.	New River Health SBHC - Independence High School	850 Independence Road	Coal City	WV
CH03260D	Terminated	BPS-H80-000241	NEW RIVER HEALTH ASSOCIATION, INC.	New River Health - Whipple	57 Sutphin Ln	Scarbro	WV
CH03260E	Terminated	BPS-H80-012739	NEW RIVER HEALTH ASSOCIATION, INC.	Valley School-Based Health Center	59 Greyhound Lane	Smithers	WV
CH03260F	Terminated	BPS-H80-005000	NEW RIVER HEALTH ASSOCIATION, INC.	GULF FAMILY PRACTICE	410 WEST MAIN ST	SOPHIA	WV
CH03260H	Terminated	BPS-H80-003999	NEW RIVER HEALTH ASSOCIATION, INC.	COLLINS MIDDLE SCHOOL WELLNESS CENTER	601 JONES AVE	OAK HILL	WV
CH03260J	Active	BPS-H80-002918	NEW RIVER HEALTH ASSOCIATION, INC.	New River Health SBHC - Oak Hill High School	350 OYLER AVE	OAK HILL	WV
CH03260K	Active	BPS-H80-003388	NEW RIVER HEALTH ASSOCIATION, INC.	New River Health SBHC - Summersville	30 Grizzley Ln	Summersville	WV
CH03260L	Terminated	BPS-H80-017284	NEW RIVER HEALTH ASSOCIATION, INC.	MT. HOPE ELEMENTARY SCHOOL WELLNESS CENTER	204 South Mountain Ave.	MOUNT HOPE	WV
CH03260M	Terminated	BPS-H80-002071	NEW RIVER HEALTH ASSOCIATION, INC.	New River Health - Scarbro	908 SCARBRO RD.	SCARBRO	WV
CH03260N	Terminated	BPS-H80-008907	NEW RIVER HEALTH ASSOCIATION, INC.	Mt. Hope Dental	729 Main St	Mount Hope	WV
CH03260P	Active	BPS-H80-010251	NEW RIVER HEALTH ASSOCIATION, INC.	New River Health SBHC - Coal City Elementary	900 Independence Road	Coal City	WV
CH03260Q	Terminated	BPS-H80-000370	NEW RIVER HEALTH ASSOCIATION, INC.	RICHWOOD WELLNESS CENTER	2 Valley Ave	Richwood	WV
CH03260R	Active	BPS-H80-006153	NEW RIVER HEALTH ASSOCIATION, INC.	Lisa Elliott Health Center	75 SpyRock Loop Road	Lookout	WV
CH03260S	Active	BPS-H80-008554	NEW RIVER HEALTH ASSOCIATION, INC.	New River Health SBHC - New River Intermediate	262 Oyler Ave	Oak Hill	WV
CH03260T	Terminated	BPS-H80-018532	NEW RIVER HEALTH ASSOCIATION, INC.	Richwood High SBHC/Beaver Elementary	16414 Webster Road	Craigsville	WV
CH03260U	Terminated	BPS-H80-018531	NEW RIVER HEALTH ASSOCIATION, INC.	Richwood Middle SBHC/Cherry River Elementary	190 Riverside Drive	Richwood	WV
CH03260V	Terminated	BPS-H80-017284	NEW RIVER HEALTH ASSOCIATION, INC.	MT. HOPE ELEMENTARY SCHOOL-BASED HEALTH CENTER	204 South Mountain Avenue	Mount Hope	WV
CH03260W	Active	BPS-H80-032107	NEW RIVER HEALTH ASSOCIATION, INC.	New River Health - Summersville	315 Fairview Heights Road	Summersville	WV
CH03260X	Active	BPS-H80-024980	NEW RIVER HEALTH ASSOCIATION, INC.	New River Health SBHC - Independence Middle School	800 Independence Road	Sophia	WV
CH03260Y	Active	BPS-H80-028227	NEW RIVER HEALTH ASSOCIATION, INC.	NRHA Mobile Unit 1	497 Mall Rd	Oak Hill	WV
CH03260Z	Active	BPS-H80-029721	New River Health Association, Inc.	New River Health - Smithers	2 Greyhound Lane	Smithers	WV

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date	Termination Date
CH032600	CRAB ORCHARD PHARMACY, INC.	1299 ROBERT C BYRD DR	PO BOX 276	CRAB ORCHARD	WV	25827	04/01/2021
CH032600	CVS CAREMARK	DBA CVS/CAREMARK OR CF# 11506	1 GREAT VALLEY BOULEVARD	WILKES BARRE	PA	18706	10/01/2022
CH032600	CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC	DBA CVS/CAREMARK 48067	1780 WALL ST	MT PROSPECT	IL	60056	10/01/2022
CH032600	KROGER PHARMACY #780	411 MALL RD.		OAK HILL	WV	25901-6115	04/01/2020
CH032600	NEW JERSEY CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 06035	1099 RTE. 33 HAMILTON SQUARE	HAMILTON	NJ	08690	10/01/2021
CH032600	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	04/01/2020
CH032600	WAL-MART PHARMACY 10-1351	1330 N EISENHOWER DR		BECKLEY	WV	25801	04/01/2020
CH032600	WAL-MART PHARMACY 10-1360	204 TOWN CENTER RD		FAYETTEVILLE	WV	25840	04/01/2020
CH032600	WAL-MART PHARMACY 10-1477	200 WAL STREET		SUMMERSVILLE	WV	26651	04/01/2020
CH032600	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	04/01/2020
CH032600	WALGREEN CO.	DBA: WALGREENS #11978	2933 ROBERT C. BYRD DR.	BECKLEY	WV	25801	04/01/2020
CH032600	WALGREEN CO.	WALGREENS #19990	18116 WEBSTER RD	CRAIGSVILLE	WV	26205	04/01/2020	02/15/2021
CH032600	WALGREEN CO.	WALGREENS #18404	1250 KANAWHA AVE	RAINELLE	WV	25962-7120	04/01/2020	02/15/2021
CH032600	WALGREEN CO.	WALGREENS #17275	8 CHERRY RIVER PLZ	RICHWOOD	WV	26261-1371	04/01/2020	02/15/2021
CH032600	WALGREEN CO.	WALGREENS #17426	1201 MAIN ST E	OAK HILL	WV	25901-3132	04/01/2020
CH032600	WALGREEN CO.	WALGREENS #19450	16 RICH CREEK RD. PO BOX 799	ANSTED	WV	25812-0799	04/01/2020	11/15/2022
CH032600	WALGREEN CO.	WALGREENS #18398	27 W MAIN ST.	SUTTON	WV	26601-1025	04/01/2020	02/15/2021
CH032600	Walgreens #21420	Walgreens Central Fill #21420	8440 Times Dispatch Blvd Ste. 400	Mechanicsville	VA	23116	10/01/2023
CH032600	WALMART PHARMACY 10-5169	2252 NORTH 8TH STREET	SUITE A	ROGERS	AR	72756	04/01/2023
CH032600	Walmart Pharmacy 10-7611	2501 Perry Rd		Plainfield	IN	46168	01/01/2024
CH032600	WEST VIRGINIA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04167	700 NORTHSIDE DR.	SUMMERSVILLE	WV	26651	10/01/2021
CH032600	WEST VIRGINIA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 05946	72 WHITEWATER AVE.	FAYETTEVILLE	WV	25840	10/01/2021
CH032600	WEST VIRGINIA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY #6311	11078 MIDLAND TRL	GAULEY BRIDGE	WV	25085	10/01/2021	04/03/2024
CH032600	WEST VIRGINIA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 06312	2811 ROBERT C. BYRD DR.	BECKLEY	WV	25801	10/01/2021
CH032600	WEST VIRGINIA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04432	300 FOURTH AVE	MONTGOMERY	WV	25136	10/01/2022
CH032600	WEST VIRGINIA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 06305	1414 N. EISENHOWER DR.	BECKLEY	WV	25801	10/01/2022
CH032600	WEST VIRGINIA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 07792	1827 HARPER ROAD	BECKLEY	WV	25801	10/01/2022

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Contacts	Primary Contact	Update	Profile Change Request	Reed, Karen Director of Pharmacy New River Health Association 3045743991	Reed, Karen Director of Pharmacy New River Health Association 3044652273	6/19/2024 3:58 PM
Details	State	Update		To Be Terminated	Terminated	4/1/2024 12:01 AM
Dates	Last Date That 340B Drugs Purchased	Update	Termination Request		4/1/2024 12:00:00 AM	2/29/2024 11:32 AM
Details	State	Update	Termination Request	Active	To Be Terminated	2/29/2024 11:32 AM
Terminations	Termination Comments	Update	Termination Request		This is a duplicate site to CH032600.	2/29/2024 11:32 AM
Terminations	Termination Date	Update	Termination Request		4/1/2024 12:00:00 AM	2/29/2024 11:32 AM
Terminations	Termination Effective Date	Update	Termination Request		4/1/2024 12:00:00 AM	2/29/2024 11:32 AM
Terminations	Termination Reason	Update	Termination Request		Other	2/29/2024 11:32 AM
Details	Last Recertification Date	Update	Recertification	2/21/2023 6:37:07 AM	2/23/2024 9:09:17 AM	2/23/2024 9:09 AM
Contacts	Authorizing Official	Update	Profile Change Request	Schultz, John R. Chief Executive Officer New River Health Association 3044652258	Schultz, John R. Chief Executive Officer New River Health Association 3044652274	7/28/2023 9:14 AM
Contacts	Signed By	Update	Profile Change Request	Schultz, John R. Chief Executive Officer New River Health Association 3044652258	Schultz, John R. Chief Executive Officer New River Health Association 3044652274	7/28/2023 9:14 AM
Contacts	Primary Contact	Update	Profile Change Request	Reed, Karen Director of Pharmacy New River Health Association 3045743960	Reed, Karen Director of Pharmacy New River Health Association 3045743991	7/24/2023 10:40 AM
Addresses	Shipping Address	Insert	Recertification		New River Health - Scarbro Pharmacy 908 Scarbro Road Scarbro, WV 25917	2/21/2023 6:37 AM
Addresses	Shipping Address	Insert	Recertification		New River Health - Fayetteville Pharmacy 217 West Maple Avenue Fayetteville, WV 25840	2/21/2023 6:37 AM
Addresses	Shipping Address	Insert	Recertification		New River Health - Sophia Pharmacy 302 West Main Street Sophia, WV 25921	2/21/2023 6:37 AM
Addresses	Shipping Address	Insert	Recertification		New River Health - Smithers Pharmacy 2 Greyhound Lane Smithers, WV 25186	2/21/2023 6:37 AM
Addresses	Shipping Address	Insert	Recertification		New River Health - Oak Hill Pharmacy 497 Mall Road Oak Hill, WV 25901	2/21/2023 6:37 AM
Medicaid Billing	Medicaid: Number	Delete	Recertification	0143663000 (WV)		2/21/2023 6:37 AM
Medicaid Billing	Medicaid: Number	Delete	Recertification	3810017778 (WV)		2/21/2023 6:37 AM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/21/2023 6:37 AM
Medicaid Billing	Medicaid: Number	Insert	Recertification		1851386031	2/21/2023 6:37 AM
Medicaid Billing	Medicaid: State	Insert	Recertification		WV	2/21/2023 6:37 AM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/21/2023 6:37 AM
Medicaid Billing	Medicaid: Number	Insert	Recertification		1609194505	2/21/2023 6:37 AM
Medicaid Billing	Medicaid: State	Insert	Recertification		WV	2/21/2023 6:37 AM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/21/2023 6:37 AM
Medicaid Billing	Medicaid: Number	Insert	Recertification		1013673219	2/21/2023 6:37 AM
Medicaid Billing	Medicaid: State	Insert	Recertification		WV	2/21/2023 6:37 AM
Medicaid Billing	NPI: Number	Delete	Recertification	1386318756 (WV)		2/21/2023 6:37 AM
Medicaid Billing	NPI: Number	Delete	Recertification	1821083072 (WV)		2/21/2023 6:37 AM
Medicaid Billing	NPI: Number	Delete	Recertification	1518596865 (WV)		2/21/2023 6:37 AM
Medicaid Billing	NPI: Number	Insert	Recertification		1386005148	2/21/2023 6:37 AM
Medicaid Billing	NPI: State	Insert	Recertification		WV	2/21/2023 6:37 AM
Medicaid Billing	NPI: Number	Insert	Recertification		1013673219	2/21/2023 6:37 AM
Medicaid Billing	NPI: State	Insert	Recertification		WV	2/21/2023 6:37 AM
Medicaid Billing	NPI: Number	Insert	Recertification		1386318756	2/21/2023 6:37 AM
Medicaid Billing	NPI: State	Insert	Recertification		WV	2/21/2023 6:37 AM
Medicaid Billing	NPI: Number	Insert	Recertification		1518596865	2/21/2023 6:37 AM
Medicaid Billing	NPI: State	Insert	Recertification		WV	2/21/2023 6:37 AM
Details	Last Recertification Date	Update	Recertification		2/21/2023 6:37:07 AM	2/21/2023 6:37 AM
Details	State	Update		Approved	Active	7/1/2022 12:01 AM
Contacts	Signed By	Insert	New Registration		Schultz, John R. Chief Executive Officer New River Health Association 3044652258	4/11/2022 2:02 PM
Details	340B ID	Update	New Registration		CH03260AC	4/11/2022 2:02 PM
Dates	Participating Approval Date	Update	New Registration		4/11/2022 2:02:57 PM	4/11/2022 2:02 PM
Details	State	Update	New Registration	Pending	Approved	4/11/2022 2:02 PM
Dates	Signed By Date	Update	New Registration		4/11/2022 11:57:20 AM	4/11/2022 2:02 PM
Dates	Start Date	Update	New Registration		7/1/2022 12:00:00 AM	4/11/2022 2:02 PM
Addresses	Main Address	Insert	New Registration		497 Mall Rd Oak Hill, WV 25901-6115	4/11/2022 11:57 AM
Addresses	Billing Address	Insert	New Registration		New River Health Association PO Box 337 Scarbro, WV 25917	4/11/2022 11:57 AM
Medicaid Billing	Medicaid: Is Primary	Insert	New Registration		False	4/11/2022 11:57 AM
Medicaid Billing	Medicaid: Number	Insert	New Registration		1386318756	4/11/2022 11:57 AM
Medicaid Billing	Medicaid: State	Insert	New Registration		WV	4/11/2022 11:57 AM
Medicaid Billing	Medicaid: Is Primary	Insert	New Registration		False	4/11/2022 11:57 AM
Medicaid Billing	Medicaid: Number	Insert	New Registration		0143663000	4/11/2022 11:57 AM
Medicaid Billing	Medicaid: State	Insert	New Registration		WV	4/11/2022 11:57 AM
Medicaid Billing	Medicaid: Is Primary	Insert	New Registration		False	4/11/2022 11:57 AM
Medicaid Billing	Medicaid: Number	Insert	New Registration		1386005148	4/11/2022 11:57 AM
Medicaid Billing	Medicaid: State	Insert	New Registration		WV	4/11/2022 11:57 AM
Medicaid Billing	Medicaid: Is Primary	Insert	New Registration		False	4/11/2022 11:57 AM
Medicaid Billing	Medicaid: Number	Insert	New Registration		1518596865	4/11/2022 11:57 AM
Medicaid Billing	Medicaid: State	Insert	New Registration		WV	4/11/2022 11:57 AM
Medicaid Billing	Medicaid: Is Primary	Insert	New Registration		False	4/11/2022 11:57 AM
Medicaid Billing	Medicaid: Number	Insert	New Registration		3810017778	4/11/2022 11:57 AM
Medicaid Billing	Medicaid: State	Insert	New Registration		WV	4/11/2022 11:57 AM
Medicaid Billing	Medicaid: Is Primary	Insert	New Registration		False	4/11/2022 11:57 AM
Medicaid Billing	Medicaid: Number	Insert	New Registration		1811983331	4/11/2022 11:57 AM
Medicaid Billing	Medicaid: State	Insert	New Registration		WV	4/11/2022 11:57 AM
Medicaid Billing	NPI: Number	Insert	New Registration		1386318756	4/11/2022 11:57 AM
Medicaid Billing	NPI: State	Insert	New Registration		WV	4/11/2022 11:57 AM
Medicaid Billing	NPI: Number	Insert	New Registration		1851386031	4/11/2022 11:57 AM
Medicaid Billing	NPI: State	Insert	New Registration		WV	4/11/2022 11:57 AM
Medicaid Billing	NPI: Number	Insert	New Registration		1821083072	4/11/2022 11:57 AM
Medicaid Billing	NPI: State	Insert	New Registration		WV	4/11/2022 11:57 AM
Medicaid Billing	NPI: Number	Insert	New Registration		1518596865	4/11/2022 11:57 AM
Medicaid Billing	NPI: State	Insert	New Registration		WV	4/11/2022 11:57 AM
Medicaid Billing	NPI: Number	Insert	New Registration		1609194505	4/11/2022 11:57 AM
Medicaid Billing	NPI: State	Insert	New Registration		WV	4/11/2022 11:57 AM
Medicaid Billing	NPI: Number	Insert	New Registration		1811983331	4/11/2022 11:57 AM
Medicaid Billing	NPI: State	Insert	New Registration		WV	4/11/2022 11:57 AM
Contacts	Authorizing Official	Insert	New Registration		Schultz, John R. Chief Executive Officer New River Health Association 3044652258	4/11/2022 11:57 AM
Contacts	Primary Contact	Insert	New Registration		Reed, Karen Director of Pharmacy New River Health Association 3045743960	4/11/2022 11:57 AM
Details	Assistance Received From Date	Insert	New Registration			4/11/2022 11:57 AM
Details	Assistance Received To Date	Insert	New Registration			4/11/2022 11:57 AM
Details	Last Recertification Date	Insert	New Registration			4/11/2022 11:57 AM
Details	Grant Number	Insert	New Registration		H80CS00075	4/11/2022 11:57 AM
Details	340B ID	Insert	New Registration			4/11/2022 11:57 AM
Details	Is Authorizing Official EHB Data	Insert	New Registration			4/11/2022 11:57 AM
Dates	Last Date That 340B Drugs Purchased	Insert	New Registration			4/11/2022 11:57 AM
Details	Medicare Provider Number	Insert	New Registration			4/11/2022 11:57 AM
Details	Entity Name	Insert	New Registration		New River Health Association, Inc.	4/11/2022 11:57 AM
Details	NOFO Number	Insert	New Registration			4/11/2022 11:57 AM
Details	Program Code	Insert	New Registration		CH	4/11/2022 11:57 AM
Details	Entity Subname	Insert	New Registration		New River Health Medical Mall	4/11/2022 11:57 AM
Dates	Participating Approval Date	Insert	New Registration			4/11/2022 11:57 AM
Details	State	Insert	New Registration		Pending	4/11/2022 11:57 AM
Dates	Registration Date	Insert	New Registration		4/11/2022 11:57:17 AM	4/11/2022 11:57 AM
Dates	Signed By Date	Insert	New Registration			4/11/2022 11:57 AM
Dates	Start Date	Insert	New Registration			4/11/2022 11:57 AM
Terminations	Termination Comments	Insert	New Registration			4/11/2022 11:57 AM
Terminations	Termination Date	Insert	New Registration			4/11/2022 11:57 AM
Terminations	Termination Effective Date	Insert	New Registration			4/11/2022 11:57 AM
Terminations	Termination Reason	Insert	New Registration			4/11/2022 11:57 AM

340B Drug Pricing Program Database