| Tug River Health Association, Inc | |
|
Route 103 Supply St. Gary WV 24836 | |
| (304) 448-2101 | |
| (304) 448-3217 |
| Full Name | Tug River Health Association, Inc |
|---|---|
| Speciality | Clinical Medical Laboratory |
| Location | Route 103 Supply St., Gary, West Virginia |
| Authorized Official Name and Position | Tim Crofton (EXECUTIVE DIRECTOR) |
| 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 Route 103 Supply St. Po Box 507 Gary WV 24836 Ph: (304) 448-2101 | Tug River Health Association, Inc Route 103 Supply St. Gary WV 24836 Ph: (304) 448-2101 |
| NPI Number | 1831275171 |
|---|---|
| Provider Enumeration Date | 10/30/2006 |
| Last Update Date | 02/28/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831275171 | NPI | - | NPPES |
| 6705101000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 031000 (West Virginia) | Secondary |
| 291U00000X | Clinical Medical Laboratory | (* (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: Rr 103 Supply Street, 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 |