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

Q: 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.

Q: 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.

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: August 09, 2026.

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

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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

Phone(304) 448-2101

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

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Secondary Practice Locations 2

Location 1RR 103 Supply StreetGary, WV 24836 · Phone (304) 448-2101

Location 2200 12th Street ExtPrinceton, WV 24740-2329 · Phone (304) 431-1400

Other Identifiers 3

OtherCN3563WV · Rr Medicare Group #

Other001706659WV · Bcbs

Medicaid0035211000WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.Insurance ›

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.

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.