| Tug River Health Association, Inc. | |
|
Rr 103 Supply Street Gary WV 24836-0507 | |
| (304) 448-2101 | |
| (304) 448-3217 |
| Full Name | Tug River Health Association, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | Rr 103 Supply Street, Gary, West Virginia |
| Authorized Official Name and Position | Kim Harris (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 3044482101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tug River Health Association, Inc. Po Box 507 Rr 103 Supply Street Gary WV 24836-0507 Ph: (304) 448-2101 | Tug River Health Association, Inc. Rr 103 Supply Street Gary WV 24836-0507 Ph: (304) 448-2101 |
| NPI Number | 1639578065 |
|---|---|
| Provider Enumeration Date | 08/21/2014 |
| Last Update Date | 08/21/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639578065 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Tug River Health Association, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: Us Rt 52 Main Street, Gary, WV 24836 Phone: 304-448-2101 Fax: 304-448-3217 | |
Pineville Children's Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: Us Route 103 Supply St, Gary, WV 24836 Phone: 304-732-7069 Fax: 304-732-7098 | |
Tug River Health Association Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Rt 103 Supply St, Gary, WV 24836 Phone: 304-448-2101 Fax: 304-448-3217 | |
Tug River Health Association, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Route 103 Supply St., Gary, WV 24836 Phone: 304-448-2101 Fax: 304-448-3217 | |
Tug River Health Association, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Route 103 Supply St., Gary, WV 24836 Phone: 304-448-2101 Fax: 304-448-3217 |