Organization
TRI-CITIES COMMUNITY HEALTH
Active
Other names
5th Avenue Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KRISTY NEEDHAM (CEO)
(509) 547-2204
Entity
Organization
Contact information
Practice address
507 N 5TH AVE, PASCO, WA 99301-5201
(509) 543-1975
Mailing address
PO BOX 1323, PASCO, WA 99301-1323
(509) 547-2204
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7139553
—
WA
Enumeration date
12/07/2007
Last updated
01/11/2024
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