Organization
TUG RIVER HEALTH ASSOCIATION, INC
Active
Organization
TUG RIVER HEALTH ASSOCIATION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIM CROFTON MBA (EXECUTIVE DIRECTOR)
(304) 448-2101
Entity
Organization
Contact information
Practice address
ROUTE 103 SUPPLY ST., GARY, WV 24836
(304) 448-2101
(304) 448-3217
Mailing address
ROUTE 103 SUPPLY ST, PO BOX 507, GARY, WV 24836
(304) 448-2101
(304) 448-3217
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
031000
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0035211000
—
WV
Enumeration date
10/30/2006
Last updated
02/18/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up