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 (MANAGED CARE DIRECTOR)
(323) 297-0884
Entity
Organization
Contact information
Practice address
11328 BARTLETT AVE STE 3, ADELANTO, CA 92301-1913
(760) 237-8848
(760) 237-8847
Mailing address
11328 BARTLETT AVE STE 3, ADELANTO, CA 92301-1913
(760) 530-9944
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
07/15/2020
Last updated
04/30/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up