TUG RIVER HEALTH ASSOCIATION, INC. (NPI# 1720567241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720567241 |
Entity Type | Organization |
Organization Name | TUG RIVER HEALTH ASSOCIATION, INC. |
Other Organization Name | TUG RIVER/RIVERVIEW WELLNESS CENTER |
Practice Address |
512 Mountaineeer Highway Room 1344 Bradshaw WV 24874-2487 |
Mailing Address |
Rr 103 Supply Street Po Box 507 Gary WV 24836 |
Practice Telephone | 3049677684 |
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 | 3810021840 | 05 |
Other Name | Type Code |
---|---|
Tug River/Riverview Wellness Center | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
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 |
512 MOUNTAINEEER HIGHWAY ROOM 1344 |
City | BRADSHAW |
State | WV |
Zip Code | 24874-2487 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851999775 | Frankie Lynn Adkins | Technician | 91 Blackberry St, Pineville, WV 24874 | 2020-10-13 |
1104430313 | Leeann Mae Morgan | Technician | 457 Bowman Bottom Rd, Pineville, WV 24874 | 2020-09-04 |
1093329757 | Destiny Lafferty | Technician | 457 Bowman Bottom Rd., Pineville, WV 24874 | 2020-09-01 |
1942813027 | Jenny Marie Hatfield | Technician | 308 River View Ave, Pineville, WV 24874 | 2020-08-28 |
1124591920 | Ashley Nicole Lusk | Counselor | 438 River Drive, Pineville, WV 24874 | 2019-01-04 |
1174040604 | Walgreen Co | Pharmacy | 448 Appalachian Hwy, Pineville, WV 24874 | 2017-08-25 |
1265719256 | Stat Ems, LLC. | Non-emergency Medical Transport (VAN) | 84-b Main Ave, Pineville, WV 24874 | 2011-11-04 |
1225337652 | Omotayo Julieanne Aborisade | Pharmacist | Route 10, Main Strret, Pineville, WV 24874 | 2011-03-24 |
1609175520 | Irene B Menego | Pharmacist | 418 Applician Highway, Pineville, WV 24874 | 2011-03-17 |
1396989604 | Angela Kaye Cook | Psychologist | 483 Appalachian Highway, Suite 2, Pineville, WV 24874 | 2009-04-30 |
Find all providers in zip 24874 |
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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1154747442 | Mountain State Medical Specialties,inc. | Clinical Medical Laboratory | 120 Medical Park Dr Ste 101, Bridgeport, WV 26330-9013 | 2014-03-11 |
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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.