National Provider Identifier Database

TUG RIVER HEALTH ASSOCIATION INC
Federally Qualified Health Center (FQHC)

A Federally Qualified Health Center (FQHC) is a community-based organization that provides comprehensive primary care and preventive care, including health, oral, and mental health/substance abuse services to persons of all ages, regardless of their ability to pay or health insurance status.


Contact Information

TUG RIVER HEALTH ASSOCIATION, INC
ROUTE 103 SUPPLY ST.
GARY, WV24836
Phone: 304-448-2101
Fax: 304-448-3217
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X

* Indicates primary specialty

NPI Profile & details for TUG RIVER HEALTH ASSOCIATION, INC

NPI Number 1922184266
Legal business name
LBN
TUG RIVER HEALTH ASSOCIATION, INC
Authorized official TIM CROFTON - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 10/30/2006
Last updated 02/18/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • WV License #: 031000
  • WV Medicaid: 0035211000

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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