TUG RIVER HEALTH ASSOCIATION, INC. (NPI# 1548749062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548749062 |
Entity Type | Organization |
Organization Name | TUG RIVER HEALTH ASSOCIATION, INC. |
Other Organization Name | TUG RIVER HEALTH ASSOCIATION |
Practice Address |
950 Mount View Rd Welch WV 24801-2810 |
Mailing Address |
Rr 103 Supply Street Po Box 507 Gary WV 24836 |
Practice Telephone | 3044482101 |
Practice Fax Number | 3044483217 |
Mailing Telephone | 3044482101 |
Mailing Fax Number | 3044483217 |
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 | 51D1064007 | WV | Laboratories |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WV | 3810005540 | 05 |
Other Name | Type Code |
---|---|
Tug River /Mt.View Wellness Center | Other Name - Individual/Organization |
Tug River Health Association | 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 |
1457830978 | Tug River Health Association, Inc. | Clinical Medical Laboratory | 585 Appalachian Highway, Pineville, WV 24817 | 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 |
950 MOUNT VIEW RD |
City | WELCH |
State | WV |
Zip Code | 24801-2810 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013093350 | Tug River Health Association, Inc | Clinic/Center | 950 Mount View Rd, Suite 500, Welch, WV 24801-2810 | 2006-10-30 |
1255801312 | Carol Suzanne Dennison | Nurse Practitioner | 950 Mount View Rd, Welch, WV 24801-2810 | 2018-12-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144821687 | Amy Marie Dotson | Technician | 124973 Loop Seven Highway, Welch, WV 24801 | 2020-11-02 |
1386243947 | Lora Bailey | Technician | Riverside Dr, Welch, WV 24801 | 2020-10-23 |
1154929545 | Amber Stacy | Technician | 3057 Maple Acres Road, Bluefield, WV 24801 | 2020-10-16 |
1639625270 | Kelly Beth Belt | Physician Assistant | 454 Mcdowell Street, Welch, WV 24801 | 2016-09-01 |
1396177333 | Donna Flaim | Physician Assistant | 19771 Coal Heritage Road Suite102, Welch, WV 24801 | 2013-08-01 |
1821437617 | Joshua Matthew Hopkins | Physician Assistant | 19771 Coal Heritage Road Suite 102, Welch, WV 24801 | 2013-06-14 |
1417088741 | Mcdowell Professioal Sleep Lab | Specialist/Technologist, Other | Route52 Main Street, Welch, WV 24801 | 2007-03-08 |
1073656641 | Looney Enterprises LLC | Optometrist | 794 Virginia Ave., Welch, WV 24801 | 2007-02-14 |
1124115829 | Rahmet Muzaffer | Pediatrics | 66 Elkins Street, Welch, WV 24801 | 2006-10-06 |
1619920600 | Nichole Maureen Horsford, M.d. | Psychiatry & Neurology | 151 Rt. 52 North, Welch, WV 24801 | 2006-05-18 |
Find all providers in zip 24801 |
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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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.