Provider Demographics
NPI:1871470377
Name:TYGART VALLEY MEDICAL SOLUTIONS
Entity type:Organization
Organization Name:TYGART VALLEY MEDICAL SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JACOB
Authorized Official - Middle Name:
Authorized Official - Last Name:HELSEL
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:989-745-5316
Mailing Address - Street 1:18 CENTRE COURT DR
Mailing Address - Street 2:
Mailing Address - City:GRAFTON
Mailing Address - State:WV
Mailing Address - Zip Code:26354-7886
Mailing Address - Country:US
Mailing Address - Phone:989-745-5316
Mailing Address - Fax:
Practice Address - Street 1:18 CENTRE COURT DR
Practice Address - Street 2:
Practice Address - City:GRAFTON
Practice Address - State:WV
Practice Address - Zip Code:26354-7886
Practice Address - Country:US
Practice Address - Phone:989-745-5316
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-18
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty