TUG RIVER HEALTH ASSOCIATION, INC. (NPI# 1457830978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457830978 |
| Entity Type | Organization |
| Organization Name | TUG RIVER HEALTH ASSOCIATION, INC. |
| Other Organization Name | PINEVILLE CHILDRENS CLINIC |
| Practice Address |
585 Appalachian Highway Pineville WV 24817 |
| Mailing Address |
Rr 103 Supply Street Gary WV 24836 |
| Practice Telephone | 3047327069 |
| Enumeration Date | 2018-08-07 |
| Last Update Date | 2018-08-07 |
| Authorized Official Name | KIM HARRIS (CREDENTIALING /BILLING COORD.) |
| Authorized Official Telephone | 3044482101 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 51D0233700 | WV | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810014476 | 05 |
| Other Name | Type Code |
|---|---|
| Pineville Childrens Clinic | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720567241 | Tug River Health Association, Inc. | Clinical Medical Laboratory | 512 Mountaineeer Highway, Room 1344, Bradshaw, WV 24874-2487 | 2018-08-07 |
| 1295033009 | Tug River Health Association, Inc. | Clinic/Center | 512 Mountaineer Highway, Room 1344, Bradshaw, WV 24817-0000 | 2011-03-02 |
| 1639658156 | Tug River Health Association, Inc. | Clinic/Center | 585 Appalachian Highway, Pineville, WV 24874-2487 | 2018-08-07 |
| 1548749062 | Tug River Health Association, Inc. | Clinical Medical Laboratory | 950 Mount View Rd, Welch, WV 24801-2810 | 2018-08-07 |
| 1639578065 | Tug River Health Association, Inc. | Clinic/Center | Rr 103 Supply Street, Gary, WV 24836-0507 | 2014-08-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | TUG RIVER HEALTH ASSOCIATION, INC | Rt 103 Supply St, Gary, WV 24836-0507 |
| Street Address |
585 APPALACHIAN HIGHWAY |
| City | PINEVILLE |
| State | WV |
| Zip Code | 24817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013204734 | Joanna Marie Adkins Bailey | Family Medicine | 585 Appalachian Highway, Pineville, WV 24874-0430 | 2011-07-01 |
| 1639658156 | Tug River Health Association, Inc. | Clinic/Center | 585 Appalachian Highway, Pineville, WV 24874-2487 | 2018-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124632872 | Lisa Ann Remines | Technician | 73 Bottom St, Bradshaw, WV 24817 | 2020-09-01 |
| 1205227634 | Bradshaw Economy Drug Inc. | Pharmacy | 10029 Marshall Highway, Bradshaw, WV 24817 | 2015-02-06 |
| 1083905681 | Alfonso Daniel Carolla Jr. | Pharmacist | 10059 Marshall Hwy, Bradshaw, WV 24817 | 2011-04-29 |
| 1366731226 | Richard Edward Callendar Jr. | Pharmacist | 10059 Marshall Highway, Bradshaw, WV 24817 | 2011-03-31 |
| 1912963869 | Mahesh B. Patel | Clinic/Center | 9981 Marshall Highway, Bradshaw, WV 24817 | 2006-04-20 |
| 1902860877 | Mahesh B Patel | Internal Medicine | 240 Main Street, Bradshaw, WV 24817 | 2006-04-17 |
| 1528402401 | Cherie L Vance | Nurse Practitioner | 240 Main Street, Bradshaw, WV 24817 | 2013-04-23 |
| 1437406394 | Amanda Noel Hagerman | Pharmacist | 10059 Marshall Highway, Bradshaw, WV 24817 | 2012-08-10 |
| 1295033009 | Tug River Health Association, Inc. | Clinic/Center | 512 Mountaineer Highway, Room 1344, Bradshaw, WV 24817-0000 | 2011-03-02 |
| 1821406083 | Kayla Dawn Day | Pharmacist | Buchanan Avenue Route 83, Bradshaw, WV 24817-0751 | 2014-07-31 |
| Find all providers in zip 24817 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
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|---|---|---|---|---|
| 1396840187 | Central Labs Inc | Clinical Medical Laboratory | 97 Main Ave, Pineville, WV 24874 | 2006-09-14 |
| 1922150911 | Pineville Community Hospital Reference Lab | Clinical Medical Laboratory | 850 Riverview Rd, Pineville, KY 40977-1430 | 2007-01-18 |
| 1578669586 | Echo Analyzing, Inc. | Clinical Medical Laboratory | 850 Riverview Rd, Pineville, KY 40977-1430 | 2006-09-16 |
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|---|---|---|---|---|
| 1235784745 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 1345 Mercer St, Princeton, WV 24740-3033 | 2019-08-02 |
| 1346892650 | West Virginia Laboratories | Clinical Medical Laboratory | 1740 Union Carbide Dr Bldg 740, South Charleston, WV 25303-2732 | 2019-07-16 |
| 1831674084 | Appalachian Labs of Wv LLC | Clinical Medical Laboratory | 708 Bigley Ave., Ste. A, Charleston, WV 25302-3357 | 2018-10-03 |
| 1720567241 | Tug River Health Association, Inc. | Clinical Medical Laboratory | 512 Mountaineeer Highway, Room 1344, Bradshaw, WV 24874-2487 | 2018-08-07 |
| 1245765684 | Bds Healthcare LLC | Clinical Medical Laboratory | 1451 Earl L Core Rd, Morgantown, WV 26505-0314 | 2017-04-24 |
| 1538608757 | Vitas Laboratory LLC | Clinical Medical Laboratory | 5487 Country Club Rd, Grafton, WV 26354-8762 | 2017-02-21 |
| 1376081612 | Mountaineer Laboratories LLC | Clinical Medical Laboratory | 1337 Virginia St E, Charleston, WV 25301-3011 | 2017-02-07 |
| 1629520853 | Mountaineer Laboratories LLC | Clinical Medical Laboratory | 1410 Jefferson Blvd # B, Point Pleasant, WV 25550-1344 | 2016-11-04 |
| 1831647403 | West Virginia Drug Testing Laboratories | Clinical Medical Laboratory | 108 S Walker St, Princeton, WV 24740-2745 | 2016-09-13 |
| 1811443302 | Reality Check Drug Testing | Clinical Medical Laboratory | 550 N Eisenhower Dr, Beckley, WV 25801-3109 | 2016-08-25 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.