Pineville Children'S Clinic

LBN: Tug River Health Association
Pineville Children'S Clinic is an health care organization with primary practice located at Us Route 10 , Pineville WV 24874-0430. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Tug River Health Association can be contacted via phone (304) 732-7069, or through Harris, Kim via phone (304) 448-2101.

Contact Information

Primary practice address
Us Route 10 Pineville WV 24874-0430
Phone: (304) 732-7069
Fax: (304) 732-7098
Website:
Map and Directions
Authorized official contact:
Name: Harris, Kim
Phone: (304) 448-2101

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X West Virginia

Profile Details

NPI number 1033364765
LBN Legal business name Tug River Health Association
DBA Doing business as Pineville Children'S Clinic
Authorized official Harris, Kim
Entity Organization
Organization subpart 1 No
Enumeration date Nov 21st, 2008
Last updated Nov 21st, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033364765 NPPES
West Virginia Other 51D0233700 CLIA CERT #

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