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Organization

TRI-STATE COMMUNITY HEALTHCARE CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ARAM MANOUKIAN (CEO)
(818) 652-6612
Entity
Organization

Contact information

Practice address
1402 BAILEY AVE, NEEDLES, CA 92363-3104
(760) 326-0222
(769) 326-0221
Mailing address
820 W BROADWAY ST, NEEDLES, CA 92363-2729
(760) 326-0222
(760) 326-0221

Taxonomy

Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
261QP2300X
Primary Care Clinic/Center
CA

Other

Enumeration date
08/15/2012
Last updated
06/08/2023
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