TUG RIVER HEALTH ASSOCIATION, INC
NPI 1831273945
Clinic/Center - Federally Qualified Health Center (FQHC) in Northfork, WV

Active since October 25, 2006CLIA 51D0661648 · Certificate of Compliance
10 MAIN STREET, NORTHFORK, WV 24868(304) 862-2588(304) 862-2244 Get Directions Write a Review

NPPES record last updated: December 6, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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 1831273945) is a healthcare organization registered as a federally qualified health center (fqhc) in Northfork, West Virginia and active in the NPI registry since October 2006. The organization holds a CLIA Certificate of Compliance certificate valid through September 12, 2026 and lists Kim Harris, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1831273945
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameTUG RIVER HEALTH ASSOCIATION, INC
Location Address10 MAIN STREETNorthfork, WV 24868
Mailing AddressRoute 103 Supply Street, Po Box 507Gary, WV 24836 · (304) 448-2101 · Fax (304) 448-3217
Fax(304) 862-2244
Organization SubpartNo
Authorized OfficialKim HarrisCredentialing Coordinator · (304) 448-2101
Enumeration DateOctober 25, 2006
Last NPPES UpdateDecember 6, 2018
NPI 1831273945 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
10 MAIN STREET, Northfork, WV 24868

Other Identifiers 3

Other001706659WV · Ms Bcbs
OtherCN3563WV · Rr Medicare
Medicaid0035035000WV

Accepted 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 Compliance 51D0661648

Tug River Health Association Gary · Gary, WV
Active · expires Sep 12, 2026
CLIA Number51D0661648
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateSeptember 13, 2024
Certificate Expiration DateSeptember 12, 2026
Laboratory DirectorDr. Teresa Thacker
Laboratory Phone(304) 448-2101
Laboratory LocationTug River Health Association Gary5883 Black Diamond Highway, Gary, WV 24836
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Federally Qualified Health Center (FQHC))
10 MAIN STREET
NORTHFORK, WV 24868

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831273945, enumerated as an "organization" on October 25, 2006.

The provider is located at 10 MAIN STREET NORTHFORK, WV 24868 and the phone number is (304) 862-2588.

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.