Tug River Health Association, Inc in Gary - Federally Qualified Health Center (fqhc)
Tug River Health Association, Inc - NPI 1013093350
Tug River Health Association, Inc is a Federally Qualified Health Center (fqhc) in Gary, . Tug River Health Association, Inc practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Tug River Health Association, Inc is 1013093350. The last update date is 2018-12-06.
Tug River Health Association, Inc's current location address is Route 103 Supply Street,, Gary, . You can contact this provider via phone number 3044482101 and fax number 3044483217. The mailing address for Tug River Health Association, Inc is Route 103 Supply Street,, Gary, . To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Tug River Health Association, Inc |
|---|---|
| Address | Route 103 Supply Street,, Gary, |
| Phone Number | 3044482101 |
| Fax Number | 3044483217 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CREDENTIAL |
|---|---|
| Authorized Official Name | Harris Kim |
| Telephone Number | 3044482101 |
NPI Number Detail
| NPI Number | 1013093350 |
|---|---|
| Provider Enumeration Date | 2006-10-30 |
| Last Updated Date | 2018-12-06 |
Provider Mailing Address Detail
| Address | Route 103 Supply Street, |
|---|---|
| City | Gary |
| State | (WV) |
| Post Code | 24836 |
| Phone Number | 3044482101 |
| Fax Number | 3044483217 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
| Licence No | 31000 |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CN3563 | WV | RR MEDICARE | |
| 3810005540 | WV | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Tug River Health Association, Inc by the Centers for Medicare & Medicaid Services (CMS)?
The Tug River Health Association, Inc has been assigned the NPI (National Provider Identifier) 1013093350. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Tug River Health Association, Inc is geographically located?
The Tug River Health Association, Inc is physically situated at the following location: Route 103 Supply Street,, Gary, WV, 24836.
What is the area of specialization for Tug River Health Association, Inc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Tug River Health Association, Inc is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code that categorizes this area of expertise is 261Qf0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1013093350 to Tug River Health Association, Inc?
The Centers for Medicare & Medicaid Services originally issued the 1013093350 to Tug River Health Association, Inc on 2006-10-30.
When was the information regarding Tug River Health Association, Inc most recently updated?
The details pertaining to the Tug River Health Association, Inc, including its address, specialty, and other relevant information, were last refreshed on 2018-12-06.