Organization · Type 2 NPI

Tug River Health Association, Inc.

Federally Qualified Health Center (FQHC) · Gary, WV

NPI number 1639578065 Active

Practice location

RR 103 Supply Street
Gary, WV 24836-0507

Call (304) 448-2101 Map

Fax (304) 448-3217

Mailing address

PO Box 507, RR 103 Supply Street
Gary, WV 24836-0507

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

Federally Qualified Health Center (FQHC): Definition to come...

3 other providers at this address

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About NPI 1639578065

Tug River Health Association, Inc.'s National Provider Identifier is 1639578065, issued on Aug 21, 2014. 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 21, 2014.