Organization
TRI-CITIES COMMUNITY HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTY NEEDHAM (CEO)
(509) 547-2204
Entity
Organization
Contact information
Practice address
3180 W CLEARWATER AVE, SUITE A, KENNEWICK, WA 99336
(509) 547-2204
Mailing address
PO BOX 1452, PASCO, WA 99301-1223
(509) 547-2204
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
124Q00000X
Dental Hygienist
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
12/18/2012
Last updated
01/11/2024
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