Tug River Health Association, Inc.
NPI #1639578065 in Gary, West Virginia
Provider Information
- NPI Number
- 1639578065
- Entity Type
- Organization
- Organization Name
- Tug River Health Association, Inc.
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Aug 21, 2014
- Last Updated
- Aug 21, 2014
Practice Location
- Address
- RR 103 SUPPLY STREET
- City
- Gary
- State
- West Virginia
- ZIP Code
- 24836-0507
- Phone
- (304) 448-2101
Authorized Official
- Name
- MRS. KIM HARRIS
- Title
- CREDENTIALING SPECIALIST
- Phone
- (304) 448-2101
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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