TUG RIVER HEALTH ASSOCIATION, INC
NPI 1174501068
Clinic/Center - Federally Qualified Health Center (FQHC) in Gary, WV

Active since January 03, 2006CLIA 51D2209205 · Waiver
US RT 52 MAIN STREET, GARY, WV 24836(304) 448-2101(304) 448-3217 Get Directions Write a Review

NPPES record last updated: April 8, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 8, 2022, Sep 10, 2019, Dec 6, 2018 (3 updates tracked since 2018).

About Tug River Health Association, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TUG RIVER HEALTH ASSOCIATION, INC (NPI 1174501068) is a healthcare organization registered as a federally qualified health center (fqhc) in Gary, West Virginia and active in the NPI registry since January 2006. The organization holds a CLIA Waiver certificate valid through January 11, 2027, maintains 2 additional practice locations, and lists Shari Agnew, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1174501068
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameTUG RIVER HEALTH ASSOCIATION, INC
Location AddressUS RT 52 MAIN STREETGary, WV 24836
Mailing AddressRoute 103, Supply St., Pob 507Gary, WV 24836 · (304) 448-2101 · Fax (304) 448-3217
Fax(304) 448-3217
Organization SubpartNo
Authorized OfficialShari AgnewCredentialing Coordinator · (304) 862-2588
Enumeration DateJanuary 3, 2006
Last NPPES UpdateApril 8, 20223 updates tracked since enumeration
NPPES CertifiedMarch 28, 2022
✔ NPI 1174501068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
License✔ Licensed in WV · 031000
US RT 52 MAIN STREET, Gary, WV 24836

Secondary Practice Locations 2

Location 1200 12th Street ExtPrinceton, WV 24740-2329 · Phone (304) 431-1400
Location 2RR 103 Supply StreetGary, WV 24836 · Phone (304) 448-2101

Other Identifiers 3

OtherCN3563WV · Rr Medicare Group #
Other001706659WV · Bcbs
Medicaid0035211000WV

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tug River Health Association, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

29

Medicare enrollment records show 29 clinicians reassign Medicare billing to Tug River Health Association, Inc, which bills Medicare for the services they deliver. Of these, 7 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 7

Nurse Practitioner18
Family Practice6
Dentist1
Emergency Medicine1
Pediatric Medicine1
Psychiatry1
Pulmonary Disease1

Nearest to this location (20)

See all 29
Nurse Practitioner
NPI 1255059796
454 MCDOWELL ST
Welch, WV 24801
(304) 436-8630
✔ PECOS✔ Accepts Medicare0.4 mi
Nurse Practitioner
NPI 1255801312
950 MOUNT VIEW RD
Welch, WV 24801
(304) 436-4798
✔ PECOS✔ Accepts Medicare0.8 mi
Nurse Practitioner
NPI 1679922132
19771 COAL HERITAGE RD
Welch, WV 24801
(304) 436-6650
✔ PECOS1.7 mi
Nurse Practitioner
NPI 1184705816
ROUTE 103 SUPPLY STREET
Gary, WV 24836
(304) 448-2101
✔ PECOS5.6 mi
Nurse Practitioner
NPI 1942559364
RR 103 SUPPLY STREET
Gary, WV 24836
(304) 448-2101
✔ PECOS✔ Accepts Medicare5.6 mi
Nurse Practitioner
NPI 1174138515
5883 BLACK DIAMOND HIGHWAY
Gary, WV 24836
(304) 448-2101
✔ PECOS✔ Accepts Medicare5.6 mi
Nurse Practitioner
NPI 1205683869
PO BOX 507
Gary, WV 24836
(304) 448-2101
✔ PECOS✔ Accepts Medicare5.6 mi
Family Practice
NPI 1013204734
585 APPALACHIAN HIGHWAY
Pineville, WV 24874
(304) 598-6900
✔ PECOS✔ Accepts Medicare10 mi
Nurse Practitioner
NPI 1730725292
512 MOUNTAINEER HWY
Bradshaw, WV 24817
(304) 967-7682
✔ PECOS✔ Accepts Medicare13 mi
Nurse Practitioner
NPI 1639545395
926 COOK PARKWAY
Oceana, WV 24870
(304) 682-8238
✔ PECOS17 mi
Nurse Practitioner
NPI 1962113621
681 GLEN ROGERS RD.
Glen Rogers, WV 25848
(910) 233-6674
✔ PECOS✔ Accepts Medicare20 mi
Emergency Medicine
NPI 1881033058
388 BEN BOLT AVE
Tazewell, VA 24651
(276) 988-8740
✔ PECOS✔ Accepts Medicare23 mi
Nurse Practitioner
NPI 1609427350
1275 SOUTHVIEW DR
Bluefield, WV 24701
(304) 325-5448
✔ PECOS✔ Accepts Medicare25 mi
Nurse Practitioner
NPI 1699130591
460 FRONT ST
Richlands, VA 24641
(276) 598-4448
✔ PECOS26 mi
Pulmonary Disease
NPI 1902888258
1 CLINIC DR CLAYPOOL HILL
Richlands, VA 24641
(276) 964-1229
✔ PECOS✔ Accepts Medicare26 mi
Nurse Practitioner
NPI 1619346509
200 12TH STREET EXT
Princeton, WV 24740
(304) 431-1400
✔ PECOS✔ Accepts Medicare27 mi
Nurse Practitioner
NPI 1497889315
122 12TH STREET EXT PRINCETON COMMUNITY HOSPITAL
Princeton, WV 24740
(304) 487-7275
✔ PECOS✔ Accepts Medicare27 mi
Family Practice
NPI 1548990336
252 RURAL ACRES DR
Beckley, WV 25801
(304) 252-8324
✔ PECOS✔ Accepts Medicare33 mi
Pediatric Medicine
NPI 1104817956
435 MAIN STREET
Oak Hill, WV 25901
(304) 469-8884
✔ PECOS✔ Accepts Medicare44 mi
Family Practice
NPI 1003251810
1600 MEDICAL CENTER DR SUITE 1500
Huntington, WV 25701
(304) 691-1100
✔ PECOS✔ Accepts Medicare81 mi
See all 29 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 51D2209205

Tug River Health Association - Princeton · Princeton, WV
Active · expires Jan 11, 2027
CLIA Number51D2209205
Laboratory TypePhysician Office
Certificate Effective DateJanuary 12, 2025
Certificate Expiration DateJanuary 11, 2027
Laboratory DirectorDr. Teresa Thacker
Laboratory Phone(304) 431-1400
Laboratory LocationTug River Health Association - Princeton200 12th St Suite 101, Princeton, WV 24740
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tug River Health Association, Inc's NPI number?

The NPI number for Tug River Health Association, Inc is 1174501068. It was assigned to this organization in the NPPES registry on January 3, 2006.

Where is Tug River Health Association, Inc located?

Tug River Health Association, Inc is located at Us Rt 52 Main Street, Gary, WV 24836. The listed phone number is (304) 448-2101.

What is Tug River Health Association, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Tug River Health Association, Inc enrolled in Medicare?

Yes. Tug River Health Association, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tug River Health Association, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 29 clinicians in 7 Medicare specialties reassign their Medicare billing to Tug River Health Association, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (18), Family Practice (6) and Dentist (1). Of these, 7 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Tug River Health Association, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 51D2209205) is associated with this NPI, valid through January 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Tug River Health Association, Inc accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Tug River Health Association, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tug River Health Association, Inc was last updated on April 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.