Organization
TRI-STATE COMMUNITY HEALTHCARE CENTER
Active
Organization
TRI-STATE COMMUNITY HEALTHCARE CENTER
Active
Parent organization
TRI-STATE COMMUNITY HEALTHCARE CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRI-STATE COMMUNITY HEALTHCARE CENTER
Authorized official
CRYSTALE MINEROS (CREDENTIALING MANAGER)
(909) 575-7161
Entity
Organization
Contact information
Practice address
11499 BARTLETT AVE, ADELANTO, CA 92301-1902
(760) 444-4258
Mailing address
1535 E COLORADO ST, GLENDALE, CA 91205-1513
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
11/07/2017
Last updated
09/29/2025
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