Tug River Health Association, Inc in Gary - Federally Qualified Health Center (fqhc)
Tug River Health Association, Inc - NPI 1174501068
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 1174501068. The last update date is 2022-04-08.
Tug River Health Association, Inc's current location address is Route 103, Supply St., 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 St., Gary, . To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Tug River Health Association, Inc |
|---|---|
| Address | Route 103, Supply St., Gary, |
| Phone Number | 3044482101 |
| Fax Number | 3044483217 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CREDENTIAL |
|---|---|
| Authorized Official Name | Agnew Shari |
| Telephone Number | 3048622588 |
NPI Number Detail
| NPI Number | 1174501068 |
|---|---|
| Provider Enumeration Date | 2006-01-03 |
| Last Updated Date | 2022-04-08 |
Provider Mailing Address Detail
| Address | Route 103, Supply St. |
|---|---|
| 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 GROUP # | |
| 1706659 | WV | BCBS | |
| 35211000 | 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?
The Tug River Health Association, Inc has been assigned the NPI (National Provider Identifier) 1174501068. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Tug River Health Association, Inc is physically located?
The Tug River Health Association, Inc is situated at the following address: Route 103, Supply St., Gary, WV 24836.
What is Tug River Health Association, Inc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Tug River Health Association, Inc is Federally Qualified Health Center (fqhc), and the taxonomy classification code that categorizes this area of expertise is 261Qf0400X.
On what date did the Centers for Medicare & Medicaid Services assign the 1174501068 to Tug River Health Association, Inc?
The Centers for Medicare & Medicaid Services assigned the 1174501068 to Tug River Health Association, Inc on 2006-01-03.
As of what date were the details pertaining to Tug River Health Association, Inc last refreshed?
The information related to the Tug River Health Association, Inc, including its address, specialty, and other relevant details, was last updated on 2022-04-08.