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Contact Information

TUG VALLEY DIGESTIVE DISORDER CENTER INC
215 LOGAN ST
STE 42
WILLIAMSON, WV25661
 Phone: 304-235-3590
 Fax: 304-235-3592
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
Indicates primary specialty

NPI Profile & details for TUG VALLEY DIGESTIVE DISORDER CENTER INC

NPI # 1285694125
LBN Legal business name TUG VALLEY DIGESTIVE DISORDER CENTER INC
Authorized official GEORGE CORTAS - (MD OWNER OF PRACTICE)
Entity Organization
Organization subpart 1 No
Enumeration date 03/24/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
KY License # 34274
WV License # 19129
KY Medicaid 64942030
WV Medicaid 0088462000
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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