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
ARAM MANOUKIAN CEO (CEO)
(760) 326-0222
Entity
Organization
Contact information
Practice address
8700 S HIGHWAY 95, MOHAVE VALLEY, AZ 86440-8519
(928) 768-7113
Mailing address
8700 S HIGHWAY 95, MOHAVE VALLEY, AZ 86440-8519
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
11/07/2017
Last updated
11/07/2017
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