Organization
TRI-STATE COMMUNITY HEALTH CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILA J DESHONG (EXECUTIVE DIRECTOR)
(301) 678-5187
Entity
Organization
Contact information
Practice address
525 FULTON DRIVE, MCCONNELLSBURG, PA 17233-1143
(717) 485-3850
(717) 485-3725
Mailing address
109 RAYLOC DR, HANCOCK, MD 21750-1518
(301) 678-5187
(301) 678-5797
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
05/12/2006
Last updated
10/12/2007
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