TUG RIVER HEALTH ASSOCIATION, INC.


Address: 512 Mountaineeer Highway, Room 1344, Bradshaw, WV 24874-2487
Phone: 3049677684

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 291U00000X Clinical Medical Laboratory 51D1064007 WV Laboratories

Other Provider Identifier

State Issuer Identifier Type Code
WV 3810021840 05

Other Provider/Organization Names

Other Name Type Code
Tug River/Riverview Wellness Center Other Name - Individual/Organization

Other Provider IDs and Locations

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

Other Data Sources

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

Office Location

Street Address 512 MOUNTAINEEER HIGHWAY
ROOM 1344
City BRADSHAW
State WV
Zip Code 24874-2487

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 291U00000X
Grouping Laboratories
Classification Clinical Medical Laboratory

Taxonomy Definition

(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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Competitor

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City BRADSHAW
Zip Code 24874

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Dataset Information

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.

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