Organization
TRI-STATE COMMUNITY HEALTHCARE CENTER
Active
Parent organization
TRI-STATE COMMUNITY HEALTHCARE CENTER
Other names
TRI-STATE COMMUNITY HEALTHCARE CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRI-STATE COMMUNITY HEALTHCARE CENTER
Authorized official
NANA ANAHIT CHARAKCHYAN (BILLING MANAGER)
(818) 414-0204
Entity
Organization
Contact information
Practice address
1402 BAILEY AVE STE A, NEEDLES, CA 92363-3104
(760) 326-0222
Mailing address
1402 BAILEY AVE STE A, NEEDLES, CA 92363-3104
(760) 326-0222
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
02/28/2019
Last updated
02/28/2019
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