| Tri-state Health, Inc | |
|
107 N Bridge St United States Elkton MD 21921-5326 | |
| (410) 392-6408 | |
| Not Available |
| Full Name | Tri-state Health, Inc |
|---|---|
| Speciality | Counselor |
| Location | 107 N Bridge St, Elkton, Maryland |
| Authorized Official Name and Position | Muhammed Arif Niaz (MANAGING MEMBER/OWNER) |
| Authorized Official Contact | 4103926408 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri-state Health, Inc Po Box 1250 Elkton MD 21922-1250 Ph: (410) 392-6408 | Tri-state Health, Inc 107 N Bridge St United States Elkton MD 21921-5326 Ph: (410) 392-6408 |
| NPI Number | 1932757325 |
|---|---|
| Provider Enumeration Date | 08/28/2019 |
| Last Update Date | 02/05/2024 |
| Certification Date | 02/05/2024 |
| Medicare PECOS PAC ID | 0143328153 |
|---|---|
| Medicare Enrollment ID | O20240301000254 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932757325 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Secondary |
| Provider Name | Afshan Jabeen Khalid |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790243244 PECOS PAC ID: 8022453984 Enrollment ID: I20240301000323 |
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