TUG RIVER HEALTH ASSOCIATION
NPI 1639842818
Clinic/Center - Federally Qualified Health Center (FQHC) in Princeton, WV
NPI Status: Active since July 26, 2021
Contact Information
200 12TH STREET EXT
PRINCETON, WV
ZIP 24740
Phone: (304) 431-1400
- Organization
- Clinic/Center
- Federally Qualified Health Center (FQHC)
- Accepts Insurance
- CLIA Number: 51D2209205
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 01-11-2027
About TUG RIVER HEALTH ASSOCIATION
This page provides the complete NPI Profile along with additional information for Tug River Health Association, a primary care provider established in Princeton, West Virginia operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1639842818 assigned on July 2021. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Tug River Health Association. The authorized official of this NPI record is Sharon G Agnew (Credentialing Specialist)
- NPI
- 1639842818
- Provider Legal Name
- TUG RIVER HEALTH ASSOCIATION, INC
- Other Organization Name
- TUG RIVER HEALTH ASSOCIATION
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 200 12TH STREET EXT PRINCETON, WV 24740
- Location Phone
- (304) 431-1400
- Mailing Address
- 200 12TH STREET EXT PRINCETON, WV 24740
- Mailing Phone
- (304) 431-1400
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 07-26-2021
- Last Update Date
- 03-28-2022
- Code Navigator
A primary care provider (PCP) like Tug River Health Association sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Federally Qualified Health Center (FQHC)
- Taxonomy Code
- 261QF0400X
- Type
- Ambulatory Health Care Facilities
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- my Blue Access WV Major Events PPO Catastrophic 9200 - 3 Free PCP Visits - PPO
- my Blue Access WV PPO Bronze 3800 - PPO
- my Blue Access WV PPO Bronze 3800 + Adult Dental and Vision - PPO
- my Blue Access WV PPO Bronze 7400 HSA - Custom Drug Benefit - PPO
- my Blue Access WV PPO Bronze 8900 - PPO
- my Blue Access WV PPO Gold 0 - PPO
- my Blue Access WV PPO Gold 0 + Adult Dental and Vision - PPO
- my Blue Access WV PPO Gold 1700 HSA - PPO
- my Blue Access WV PPO Premier Gold 0 - PPO
- my Blue Access WV PPO Premier Gold 0 + Adult Dental and Vision - PPO
- my Blue Access WV PPO Silver 7000 - PPO
- my Blue Access WV PPO Standard Bronze 7500 - PPO
- my Blue Access WV PPO Standard Gold 1500 - PPO
- my Blue Access WV PPO Standard Silver 5000 - PPO
- my Blue Access WV PPO Standard Silver 5000 + Adult Dental and Vision - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1639842818 | MEDICAID (05) | WV |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 51D2209205
- Facility Type
- Physician Office
- Certificate Effective Date
- January 12, 2025
- Certificate Expiration Date
- January 11, 2027
- Laboratory Director
- DR. TERESA THACKER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Tug River Health Association to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for TUG RIVER HEALTH ASSOCIATION
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 3 | 9 | 8 | 4 | 2 | 8 | 1 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 6 | 9 | 16 | 4 | 4 | 8 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 6 + 9 + 1 + 6 + 4 + 4 + 8 + 2 + 24 = 72 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 72 = 8 | 8 | ||||||||
The NPI number 1639842818 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1134160641 | OLGA M. HURT MSW Individual | Counselor | 200 12TH STREET EXT PRINCETON, WV 24740 (304) 425-9541 |
| 1659312692 | TINA RENEE BORICH MA, LPC Individual | Counselor | 200 12TH STREET EXT PRINCETON, WV 24740 (304) 425-9541 |
| 1265473219 | RACHEL ANN ROMAS MA, LPC Individual | Counselor | 200 12TH STREET EXT PRINCETON, WV 24740 (304) 425-9541 |
| 1861433781 | MITCHELL JAY SAULS MSW / LGSW Individual | Counselor | 200 12TH STREET EXT PRINCETON, WV 24740 (304) 425-9541 |
| 1598709040 | MR. JAMES ARNOLD BAKER MSW/CCAC/LICSW Individual | Counselor | 200 12TH STREET EXT PRINCETON, WV 24740 (304) 425-9541 |
| 1790729028 | DR. ALINA DANIELA VRINCEANU-HAMM M.D. Individual | Psychiatry & Neurology (Psychiatry) | 200 12TH STREET EXT PRINCETON, WV 24740 (304) 425-9541 |
| 1376588251 | SHELIA RENEE CHANDLER MA Individual | Counselor | 200 12TH STREET EXT PRINCETON, WV 24740 (304) 425-9541 |
| 1811925506 | ANNA MICHELLE BROWN MA / LPC Individual | Counselor | 200 12TH STREET EXT PRINCETON, WV 24740 (304) 425-9541 |
| 1720016413 | NANCY PALARDY ZUBLICK SUPERVISED PSYCHOLOG Individual | Psychologist | 200 12TH STREET EXT PRINCETON, WV 24740 (304) 425-9541 |
| 1548298235 | CAROLYN LEE MCCONNELL MA Individual | Counselor | 200 12TH STREET EXT PRINCETON, WV 24740 (304) 425-9541 |
| 1851320261 | SUSAN CATHERINE SMITH PSYCHOLOGIST Individual | Psychologist | 200 12TH STREET EXT PRINCETON, WV 24740 (304) 425-9541 |
| 1841229184 | PATRICIA KAYE FLANAGAN MA , LPC Individual | Counselor | 200 12TH STREET EXT PRINCETON, WV 24740 (304) 425-9541 |
| 1881614550 | STEPHANIE FAIR BAILEY MA COUNSELING Individual | Counselor | 200 12TH STREET EXT PRINCETON, WV 24740 (304) 425-9541 |
| 1124204193 | BRUNA M. CARCHEDI MSW Individual | Counselor | 200 12TH STREET EXT PRINCETON, WV 24740 (304) 425-9541 |
| 1528374022 | LESLIE P. CHANDEL M.D. Individual | Psychiatry & Neurology (Psychiatry) | 200 12TH STREET EXT PRINCETON, WV 24740 (304) 425-9541 |
| 1871863134 | SOUTHERN HIGHLANDS COMMUNITY MENTAL HEALTH CENTER, INC. Organization | Counselor | 200 12TH STREET EXT PRINCETON, WV 24740 (304) 425-9541 |
| 1962772228 | SOUTHERN HIGHLANDS COMMUNITY MENTAL HEALTH CENTER, INC. Organization | Counselor | 200 12TH STREET EXT PRINCETON, WV 24740 (304) 425-9541 |
| 1235409590 | SOUTHERN HIGHLANDS COMMUNITY MENTAL HEALTH CENTER, INC. Organization | Counselor | 200 12TH STREET EXT PRINCETON, WV 24740 (304) 425-9541 |
| 1255689865 | KELLY SIMPSON HITT M.A. Individual | Counselor | 200 12TH STREET EXT PRINCETON, WV 24740 (304) 425-9541 |
| 1538418306 | MICHAEL JOHNSON M.ED. Individual | Counselor | 200 12TH STREET EXT PRINCETON, WV 24740 (304) 425-9541 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639842818, enumerated in the NPI registry as an "organization" on July 26, 2021
The provider is located at 200 12th Street Ext Princeton, Wv 24740 and the phone number is (304) 431-1400
This medical organization specializes in Clinic/Center with taxonomy code 261QF0400X with a focus in Federally Qualified Health Center (FQHC)
The provider might be accepting Accepts: Highmark Blue Cross Blue Shield West Virginia,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 51D2209205 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on July 26, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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