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CH031000 TUG RIVER HEALTH ASSOCIATION, INC (Active)
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Main Details
Name
TUG RIVER HEALTH ASSOCIATION, INC
Subdivision Name
TUG RIVER HEALTH CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-000166
340B ID
CH031000
Grant Number
H80CS00701
Additional Details
Current Program Status
Active
Registration Date
8/19/2016
Participating Start Date
10/1/2016
Participating Approval Date
8/29/2016
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Tug River Health Association, Inc.
Cheryl Mitchem, Program Director
(304) 922-0534
Primary Contact
Tug River Health Association, Inc.
Andrea Thornton, CEO
(304) 448-2101
Addresses
Street Address
5883 Black Diamond Highway
GARY, WV 24836-0507
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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ADD 1/04, 1/19/05 - MODIFIED ADDRESS (WAS U.S. RTE 103) - THIS IS A RURAL AREA - THERE ARE NO STREET NUMBERS
01/19/2005
April 2025
April 2025
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