Organization
TUG RIVER HEALTH ASSOCIATION, INC.
Active
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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