Organization · Type 2 NPI

Tug River Health Association, Inc

Federally Qualified Health Center (FQHC) · Gary, WV

NPI number 1407922891 Active

Practice location

US Route 103 Supply St
Gary, WV 24836

Call (304) 732-7069 Map

Fax (304) 732-7098

Mailing address

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...

Other federally qualified health center (fqhc) providers in Gary

Tug River Health Association, IncFederally Qualified Health Center (FQHC) Gary, WV NPI 1174501068
Tug River Health Association IncFederally Qualified Health Center (FQHC) Gary, WV NPI 1548382435
Tug River Health Association, Inc.Federally Qualified Health Center (FQHC) Gary, WV NPI 1639578065
Tug River Health Association, IncFederally Qualified Health Center (FQHC) Gary, WV NPI 1922184266

See all in Gary →

NPI record

NPI: 1407922891
Entity type: Organization (Type 2)
Issued: Nov 28, 2006
Last updated: Aug 3, 2021
Status: Active

Other names

<unavail>
Pineville Children's Clinic · doing business as
Pineville Children's Clinic · doing business as

Authorized official

Mrs. Kim Harris
Credentialing Coordinator
(304) 448-2101

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1407922891

Tug River Health Association, Inc's National Provider Identifier is 1407922891, issued on Nov 28, 2006. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Gary, WV. The record was last updated on Aug 3, 2021.