Tug River Health Association, Inc in Gary - Federally Qualified Health Center (fqhc)
Tug River Health Association, Inc - NPI 1922184266
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 1922184266. The last update date is 2008-02-18.
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 | EXECUTIVE |
|---|---|
| Authorized Official Name | Crofton Tim |
| Credentials | MBA |
| Telephone Number | 3044482101 |
NPI Number Detail
| NPI Number | 1922184266 |
|---|---|
| Provider Enumeration Date | 2006-10-30 |
| Last Updated Date | 2008-02-18 |
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 |
|---|---|---|---|
| 35211000 | WV | -- |
Post Comment/ Review Below
What is the Tug River Health Association, Inc's 1922184266?
The Tug River Health Association, Inc's NPI (National Provider Identifier) Number is 1922184266. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Tug River Health Association, Inc?
The Tug River Health Association, Inc is physically situated at Route 103 Supply St, in the city of Gary, state of WV, with the postal code 24836.
What is Tug River Health Association, Inc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Tug River Health Association, Inc is Federally Qualified Health Center (fqhc), and the taxonomy code that categorizes this field of expertise is 261Qf0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1922184266 to Tug River Health Association, Inc?
The Centers for Medicare & Medicaid Services originally issued the 1922184266 to Tug River Health Association, Inc on 2006-10-30.
When was the information related to Tug River Health Association, Inc most recently updated or refreshed?
The details pertaining to the Tug River Health Association, Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-02-18.