Organization
TUG RIVER HEALTH ASSOCIATION, INC.
Active
Other names
Pineville Childrens Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
KIM HARRIS (CREDENTIALING/ BILLING COORDINATOR)
(304) 448-2101
Entity
Organization
Contact information
Practice address
585 APPALACHIAN HIGHWAY, PINEVILLE, WV 24874-2487
(304) 732-7069
(304) 448-2101
Mailing address
RR 103 SUPPLY STREET, PO BOX 507, GARY, WV 24836-0507
(304) 448-2101
(304) 448-2101
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
WV
Other
Enumeration date
08/07/2018
Last updated
08/07/2018
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