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
715 W COURT ST, PASCO, WA 99301
(509) 547-2204
Mailing address
PO BOX 1452, PASCO, WA 99301
(509) 547-2204
(509) 542-8836
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223G0001X
General Practice Dentistry
—
—
1223P0300X
Periodontics
—
—
1223P0700X
Prosthodontics
—
—
124Q00000X
Dental Hygienist
—
—
126800000X
Dental Assistant
—
—
126900000X
Dental Laboratory Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5015854
—
WA
Enumeration date
06/29/2007
Last updated
01/11/2024
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