Organization
TRI-STATE COMMUNITY HEALTHCARE CENTER
Active
Parent organization
TRI-STATE COMMUNITY HEALTHCARE CENTER
Other names
MOBILE CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRI-STATE COMMUNITY HEALTHCARE CENTER
Authorized official
ARAM MANOUKIAN (CEO)
(760) 326-0222
Entity
Organization
Contact information
Practice address
11888 BARTLETT AVE, ADELANTO, CA 92301-1709
(760) 326-0222
Mailing address
1402 BAILEY AVE, NEEDLES, CA 92363-3104
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
04/06/2018
Last updated
04/06/2018
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