Tug River Health Association, Inc.

NPI 1295033009 - Clinic/Center - 261QF0400X

NPI Details
NPI 1295033009
Enumeration Date 03/02/2011
Last Updated 12/12/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name TIM A TIM
Position CEO
Phone (304) 967-7682
Fax (304) 967-7684
Practice Location
512 MOUNTAINEER HIGHWAY
ROOM 1344
BRADSHAW WV, 24817-0000, US
Phone (304) 967-7682
Fax (304) 967-7684
Business Location
ROUTE 103 SUPPLY STREET
PO BOX 507
GARY WV, 24836-0507, US
Phone (304) 448-2101
Fax (304) 448-3217
Toxanomy
Taxonomy Code 261QF0400X
License State
License Number
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According to our database, Tug River Health Association, Inc. NPI is 1295033009, taxonomy code is 261QF0400X Tug River Health Association, Inc. physically located at 512 Mountaineer Highway, Bradshaw WV, 24817-0000. NPI Number 1033115704 has the healthcare provider type.

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1295033009 NPI number is provided on an as is basis without warranty of any kind. 1295033009 is maintained by the National Plan & Provider Enumeration System. The contents of Tug River Health Association, Inc. are for informational purposes only.