Mount View Tug River Wellness Center

LBN: Tug River Health Association, Inc
Mount View Tug River Wellness Center is an health care organization with primary practice located at 950 Mount View Rd Suite 500, Welch WV 24801-2810. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Tug River Health Association, Inc can be contacted via phone (304) 436-4798, or through Harris, Kim via phone (304) 448-2101.

Contact Information

Primary practice address
950 Mount View Rd Suite 500 Welch WV 24801-2810
Fax: (304) 436-4815
Website:
Authorized official contact:
Name: Harris, Kim

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X 031000 West Virginia

Profile Details

NPI number 1013093350
LBN Legal business name Tug River Health Association, Inc
DBA Doing business as Mount View Tug River Wellness Center
Authorized official Harris, Kim
Entity Organization
Organization subpart 1 No
Enumeration date Oct 30th, 2006
Last updated Dec 6th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013093350 NPPES
West Virginia Other CN3563 RR MEDICARE
West Virginia MEDICAID 3810005540 RR MEDICARE

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