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Organization

TUG RIVER HEALTH ASSOCIATION, INC

Active
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Organization

TUG RIVER HEALTH ASSOCIATION, INC

Active
Parent organization
TUG RIVER HEALTH ASSOCIATION, INC
Other names
Tug River Health Association
Organization subpart
Yes

Provider details

NPI number
Legal business name
TUG RIVER HEALTH ASSOCIATION, INC
Authorized official
SHARON G AGNEW (CREDENTIALING SPECIALIST)
(304) 862-2588
Entity
Organization

Contact information

Practice address
200 12TH STREET EXT, PRINCETON, WV 24740-2329
(304) 431-1400
Mailing address
200 12TH STREET EXT, PRINCETON, WV 24740-2329
(304) 431-1400

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1639842818
WV
Enumeration date
07/26/2021
Last updated
03/28/2022
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