Organization · Type 2 NPI
Tug River Health Association, Inc.
Federally Qualified Health Center (FQHC) · Bradshaw, WV
NPI number
1295033009
Active
Practice location
512 Mountaineer Highway, Room 1344
Bradshaw, WV 24817-0000
Fax (304) 967-7684
Mailing address
Route 103 Supply Street, PO Box 507
Gary, WV 24836-0507
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
About NPI 1295033009
Tug River Health Association, Inc.'s National Provider Identifier is 1295033009, issued on Mar 2, 2011. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Bradshaw, WV. The record was last updated on Dec 12, 2011.