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.
|Practice Location||10 Main Street, Northfork, WV 24868, US|
|Practice Location Phone||304-862-2588|
|Practice Location Fax||304-862-2244|
|Legal Business Name||TUG RIVER HEALTH ASSOCIATION|
|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||Provider Type||Specialization||License||License State|
|Clinic/Center||Ambulatory Health Care Facilities||Federally Qualified Health Center (FQHC)||031000||West Virginia|
|Provider Id||Issuer State||Issuer Type||Issuer|
|CN3563||West Virginia||Other||RR MEDICARE|
|001706659||West Virginia||Other||MS BCBS|
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/Position||EXECUTIVE DIRECTOR|
|Authorized Official Phone Number||304-448-2101|