TUG RIVER HEALTH ASSOCIATION
NPI 1639842818
Clinic/Center - Federally Qualified Health Center (FQHC) in Princeton, WV

Active since July 26, 2021
200 12TH STREET EXT, PRINCETON, WV 24740(304) 431-1400 Get Directions Write a Review

NPPES record last updated: March 28, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 1, 2022, Aug 3, 2021, Jul 26, 2021 (3 updates tracked since 2021).

About Tug River Health Association NPPES

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

TUG RIVER HEALTH ASSOCIATION (NPI 1639842818) is a healthcare organization registered as a federally qualified health center (fqhc) in Princeton, West Virginia and active in the NPI registry since July 2021. The organization lists Sharon G Agnew, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1639842818
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameTUG RIVER HEALTH ASSOCIATION, INC
Location Address200 12TH STREET EXTPrinceton, WV 24740-2329
Mailing Address200 12th Street ExtPrinceton, WV 24740-2329 · (304) 431-1400
Organization SubpartYes
Authorized OfficialSharon G AgnewCredentialing Specialist · (304) 862-2588
Enumeration DateJuly 26, 2021
Last NPPES UpdateMarch 28, 20223 updates tracked since enumeration
NPPES CertifiedMarch 7, 2022
✔ NPI 1639842818 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
200 12TH STREET EXT, Princeton, WV 24740

Other Names 1

Doing Business AsTug River Health Association

Other Identifiers 1

Medicaid1639842818WV

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 is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

14

Medicare enrollment records show 14 clinicians reassign Medicare billing to Tug River Health Association, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Nurse Practitioner11
Family Practice2
Pediatric Medicine1

Clinicians, nearest first (14)

Nurse Practitioner
NPI 1619346509
200 12TH STREET EXT
Princeton, WV 24740
(304) 431-1400
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1497889315
122 12TH STREET EXT PRINCETON COMMUNITY HOSPITAL
Princeton, WV 24740
(304) 487-7275
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1184705816
ROUTE 103 SUPPLY STREET
Gary, WV 24836
(304) 448-2101
✔ PECOS24 mi
Nurse Practitioner
NPI 1942559364
RR 103 SUPPLY STREET
Gary, WV 24836
(304) 448-2101
✔ PECOS✔ Accepts Medicare24 mi
Nurse Practitioner
NPI 1174138515
5883 BLACK DIAMOND HIGHWAY
Gary, WV 24836
(304) 448-2101
✔ PECOS✔ Accepts Medicare24 mi
Nurse Practitioner
NPI 1205683869
PO BOX 507
Gary, WV 24836
(304) 448-2101
✔ PECOS✔ Accepts Medicare24 mi
Nurse Practitioner
NPI 1255059796
454 MCDOWELL ST
Welch, WV 24801
(304) 436-8630
✔ PECOS✔ Accepts Medicare27 mi
Family Practice
NPI 1013204734
585 APPALACHIAN HIGHWAY
Pineville, WV 24874
(304) 598-6900
✔ PECOS✔ Accepts Medicare28 mi
Nurse Practitioner
NPI 1770043572
200 VETERANS AVE
Beckley, WV 25801
(304) 255-2121
✔ PECOS✔ Accepts Medicare28 mi
Family Practice
NPI 1548990336
252 RURAL ACRES DR
Beckley, WV 25801
(304) 252-8324
✔ PECOS✔ Accepts Medicare30 mi
Nurse Practitioner
NPI 1962113621
681 GLEN ROGERS RD.
Glen Rogers, WV 25848
(910) 233-6674
✔ PECOS✔ Accepts Medicare30 mi
Nurse Practitioner
NPI 1730725292
512 MOUNTAINEER HWY
Bradshaw, WV 24817
(304) 967-7682
✔ PECOS✔ Accepts Medicare38 mi
Nurse Practitioner
NPI 1689927691
700 UNIVERSITY CITY BLVD
Blacksburg, VA 24060
(540) 961-8300
✔ PECOS✔ Accepts Medicare39 mi
Pediatric Medicine
NPI 1104817956
435 MAIN STREET
Oak Hill, WV 25901
(304) 469-8884
✔ PECOS✔ Accepts Medicare42 mi

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

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 1639842818. It was assigned to this organization in the NPPES registry on July 26, 2021. The provider is doing business as Tug River Health Association.

Where is Tug River Health Association, Inc located?

Tug River Health Association, Inc is located at 200 12th Street Ext, Princeton, WV 24740. The listed phone number is (304) 431-1400.

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), 14 clinicians in 3 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 (11), Family Practice (2) and Pediatric Medicine (1). Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Tug River Health Association, Inc accept?

Health plans from 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 March 28, 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.