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Organization

TRI-CITIES COMMUNITY HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KRISTY NEEDHAM (CEO)
(509) 547-2204
Entity
Organization

Contact information

Practice address
3180 W CLEARWATER AVE STE A, KENNEWICK, WA 99336
(509) 547-2204
Mailing address
PO BOX 1452, PASCO, WA 99301-1223
(509) 547-2204

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
207V00000X
Obstetrics & Gynecology Physician
208000000X
Pediatrics Physician
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner

Other

Enumeration date
06/25/2007
Last updated
01/11/2024
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