Organization
TRI-STATE COMMUNITY HEALTH CENTER, INC
Active
Other names
Tri-State Women's Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILA J DESHONG IX (CHEIF OPERATING OFFICER)
(301) 678-5187
Entity
Organization
Contact information
Practice address
12502 WILLOWBROOK ROAD, STE 550, 5TH FLR., CUMBERLAND, MD 21502-6393
(301) 723-3940
(301) 723-3941
Mailing address
109 RAYLOC DR, HANCOCK, MD 21750-1518
(301) 678-5187
(301) 678-5797
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
05/08/2006
Last updated
05/06/2010
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