NPI | 1639842818 |
---|---|
Doing Business As | TUG RIVER HEALTH ASSOCIATION |
Entity Type | Organization |
Authorized Contact | SHARON G AGNEW Credentialing Specialist 304-862-2588 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2021-07-26 |
Last Update Date | 2022-03-28 |