Organization
TRISTATE AMBULATORY SURGERY CENTER
Active
Parent organization
COMMUNITY HEALTHCARE PARTNER, INC
Other names
Colorado River Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY HEALTHCARE PARTNER, INC
Authorized official
MR. STEVE KELLEY LOPEZ (CEO)
(760) 326-7160
Entity
Organization
Contact information
Practice address
1401 BAILEY AVE, BUILDING A, NEEDLES, CA 92363-3103
(760) 326-7160
(760) 326-7292
Mailing address
1401 BAILEY AVE, NEEDLES, CA 92363-3103
(760) 326-7160
(760) 326-7292
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
282NC0060X
Critical Access Hospital
Primary
240000227
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
240000227
—
CA
05
—
330130
—
AZ
Enumeration date
09/03/2015
Last updated
09/03/2015
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