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Tug River Health Association

Tug River Health Association is a health care provider in Gary, WV. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 10 Main Street, Northfork, WV 24868, US
Practice Location Phone304-862-2588
Practice Location Fax304-862-2244
NPI ?1831273945
Entity TypeOrganization
Enumeration Date ? Oct 25, 2006
Last Update Date ? Mar 12, 2015
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Tug River Health Association

SpecialtySpecializationLicenseLicense State
Clinic/CenterFederally Qualified Health Center (FQHC) 031000West Virginia

legacy-id-icon Legacy Provider IDs of Tug River Health Association

Provider IdIssuer StateIssuer TypeIssuer
CN3563West VirginiaOtherRR MEDICARE
0035035000West VirginiaMedicaid
001706659West VirginiaOtherMS BCBS

official-icon Authorized Official of Tug River Health Association

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Tug River Health Association's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Mr. Tim Crofton (MBA)
Authorized Official Title/PositionEXECUTIVE DIRECTOR
Authorized Official Phone Number304-448-2101