TUG RIVER HEALTH ASSOCIATION INC. NPI 1295033009

NPI Information

  • NPI: 1295033009
  • Provider Name: TUG RIVER HEALTH ASSOCIATION, INC.
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • Other Name: TUG RIVER/RIVER VIEW WELLNESS CENTER
  • Address: 512 MOUNTAINEER HIGHWAY
    ROOM 1344
    BRADSHAW, WV
    ZIP 24817
  • Phone: (304) 967-7682

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NPI Details

TUG RIVER HEALTH ASSOCIATION, INC. is a federally qualified health center (fqhc) clinic center in Bradshaw, WV. TUG RIVER HEALTH ASSOCIATION, INC. NPI is 1295033009. The provider is registered as an organization entity type.
The provider Other Name Is Tug River/river View Wellness Center.

The provider's business location address is:

512 MOUNTAINEER HIGHWAY
ROOM 1344
BRADSHAW, WV
ZIP 24817-000
Phone: (304) 967-7682
Fax: (304) 967-7684

The provider's authorized official is Tim A Crofton .
The authorized official title is Ceo and has the following contact phone number (304) 448-2101.

The enumeration date for this NPI number is 3/2/2011 and was last updated on 12/12/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13810021840MEDICAIDWEST VIRGINIA
2511973MEDICARE OSCAR/CERTIFICATIONWEST VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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