TUG RIVER HEALTH ASSOCIATION INC. NPI 1639658156

NPI Information

  • NPI: 1639658156
  • Provider Name: TUG RIVER HEALTH ASSOCIATION, INC.
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • Doing Business As: PINEVILLE CHILDRENS CLINIC
  • Address: 585 APPALACHIAN HIGHWAY
    PINEVILLE, WV
    ZIP 24874
  • Phone: (304) 732-7069

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NPI Details

TUG RIVER HEALTH ASSOCIATION, INC. is a federally qualified health center (fqhc) clinic center in Pineville, WV. TUG RIVER HEALTH ASSOCIATION, INC. NPI is 1639658156. The provider is registered as an organization entity type.
The provider Is Doing Business As Pineville Childrens Clinic.

The provider's business location address is:

585 APPALACHIAN HIGHWAY
PINEVILLE, WV
ZIP 24874-487
Phone: (304) 732-7069
Fax: (304) 448-2101

The provider's authorized official is Kim Harris .
The authorized official title is Credentialing/ Billing Coordinator and has the following contact phone number (304) 448-2101.

The enumeration date for this NPI number is 8/7/2018 and was last updated on 8/7/2018.

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)WEST VIRGINIAYes

What is NPI?

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

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