TUG RIVER HEALTH ASSOCIATION, INC
NPI 1174501068
Clinic/Center - Federally Qualified Health Center (FQHC) in Gary, WV
NPI Status: Active since January 03, 2006
Contact Information
US RT 52 MAIN STREET
GARY, WV
ZIP 24836
Phone: (304) 448-2101
Fax: (304) 448-3217
- Organization
- Clinic/Center
- Federally Qualified Health Center (FQHC)
- Accepts Insurance
- CLIA Number: 51D0661648
- CLIA Cert. Type: Federally Qualified Health Center
- CLIA Exp. Date: 09-12-2026
About TUG RIVER HEALTH ASSOCIATION, INC
This page provides the complete NPI Profile along with additional information for Tug River Health Association, Inc, a primary care provider established in Gary, West Virginia operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1174501068 assigned on January 2006. The practitioner's primary taxonomy code is 261QF0400X with license number 031000 (WV). The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Mrs. Shari Agnew (Credentialing Coordinator)
- NPI
- 1174501068
- Provider Name
- TUG RIVER HEALTH ASSOCIATION, INC
- Entity Type
- Organization
- Location Address
- US RT 52 MAIN STREET GARY, WV 24836
- Location Phone
- (304) 448-2101
- Location Fax
- (304) 448-3217
- Mailing Address
- ROUTE 103, SUPPLY ST. POB 507 GARY, WV 24836
- Mailing Phone
- (304) 448-2101
- Mailing Fax
- (304) 448-3217
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-03-2006
- Last Update Date
- 04-08-2022
- Code Navigator
A primary care provider (PCP) like Tug River Health Association, Inc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Secondary Locations
- RR 103 Supply Street
Gary, WV 24836
(304) 448-2101 - 200 12th Street Ext
Princeton, WV 24740
(304) 431-1400
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Federally Qualified Health Center (FQHC)
- Taxonomy Code
- 261QF0400X
- Type
- Ambulatory Health Care Facilities
- License No.
- 031000
- License State
- WV
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 7500 $25 Generic Drugs - HMO
- Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness - HMO
- Diabetes Gold 3000 $0 Chronic Care Drugs & Services - HMO
- Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
- Diabetes Silver 5000 $0 Chronic Care Drugs & Services - HMO
- Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
- Gold 2000 $15 Generic Drugs - HMO
- Gold 2000 $15 Generic Drugs + Adult Vision & Fitness - HMO
- Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services - HMO
- Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
- my Blue Access WV Major Events PPO Catastrophic 10600 - 3 Free PCP Visits - PPO
- my Blue Access WV PPO Bronze 3800 - PPO
- my Blue Access WV PPO Bronze 3800 + Adult Dental and Vision - PPO
- my Blue Access WV PPO Bronze 9200 - PPO
- my Blue Access WV PPO Gold 0 - PPO
- my Blue Access WV PPO Gold 0 + Adult Dental and Vision - PPO
- my Blue Access WV PPO Gold 1700 HSA - PPO
- my Blue Access WV PPO Premier Gold 0 - PPO
- my Blue Access WV PPO Premier Gold 0 + Adult Dental and Vision - PPO
- my Blue Access WV PPO Premier Silver 0 - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| CN3563 | OTHER (01) | WV | RR MEDICARE GROUP # |
| 001706659 | OTHER (01) | WV | BCBS |
| 0035211000 | MEDICAID (05) | WV |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 51D0661648
- Facility Type
- Federally Qualified Health Center
- Certificate Effective Date
- September 13, 2024
- Certificate Expiration Date
- September 12, 2026
- Laboratory Director
- DR. TERESA THACKER
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Tug River Health Association, Inc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1174501068, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 42. The final step is to find the difference between that total and the next multiple of ten (50 - 42 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 42 is 50. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174501068, enumerated as an "organization" on January 03, 2006.
The provider is located at US RT 52 MAIN STREET GARY, WV 24836 and the phone number is (304) 448-2101.
Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).
The provider might be accepting Accepts: CareSource, Highmark Blue Cross Blue Shield West. Please consult your insurance carrier or call the provider to verify.
