Tug River Health Association, INC
NPI #1639842818 in Princeton, West Virginia
Provider Information
- NPI Number
- 1639842818
- Entity Type
- Organization
- Organization Name
- Tug River Health Association, INC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- TUG RIVER HEALTH ASSOCIATION, INC
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Jul 26, 2021
- Last Updated
- Mar 28, 2022
Practice Location
- Address
- 200 12TH STREET EXT
- City
- Princeton
- State
- West Virginia
- ZIP Code
- 24740-2329
- Phone
- (304) 431-1400
Authorized Official
- Name
- SHARON G AGNEW
- Title
- CREDENTIALING SPECIALIST
- Phone
- (304) 862-2588
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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