Tug River Health Association
Organization Active NPI Federally Qualified Health Center (FQHC) · Pineville, WV
NPI 1033364765 · NPPES record last updated Nov 21, 2008
Key facts
- NPI
- 1033364765
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- TUG RIVER HEALTH ASSOCIATION
- Practice address
- US Route 10
Pineville, WV 24874-0430 - Phone
- (304) 732-7069
- Fax
- (304) 732-7098
- NPI assigned
- Nov 21, 2008
- Organization subpart
- No
Authorized official
- Name
- Mrs. Kim Harris
- Title
- Billing Supervisor
- Phone
- (304) 448-2101
Corporate family (same tax ID) 14
Practitioners 1
National Provider Directory
- Tax ID family
- Tug River Health Association Inc
Interoperability endpoints
- https://api.platform.athenahealth.com/18068/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | WV | Yes |
Addresses
Primary practice location
US Route 10
Pineville, WV 24874-0430
Mailing address
PO Box 507
Gary, WV 24836-0507
Phone (304) 448-2101
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51D0233700 | Other | WV | CLIA CERT # |
Other names
- Pineville Children's Clinic
Other providers in Pineville, WV
- Stat EMS LLC
- Stat EMS, LLC.
- Jennifer Nicole Stewart-England
- Melissa Stewart
- Terry Lane Thorn
- Tug River Health Association, Inc.
- Tug River Health Association, Inc.
- Samantha Nichole Vance
- Walgreen Co
- Christina Walls
All providers in Pineville, WV · Federally Qualified Health Center (FQHC) in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 21, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.