| Tri-state Community Healthcare Center | |
|
1402 Bailey Ave Ste A Needles CA 92363-3104 | |
| (760) 326-0222 | |
| Not Available |
| Full Name | Tri-state Community Healthcare Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1402 Bailey Ave Ste A, Needles, California |
| Authorized Official Name and Position | Nana Anahit Charakchyan (BILLING MANAGER) |
| Authorized Official Contact | 8184140204 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri-state Community Healthcare Center 1402 Bailey Ave Ste A Needles CA 92363-3104 Ph: (760) 326-0222 | Tri-state Community Healthcare Center 1402 Bailey Ave Ste A Needles CA 92363-3104 Ph: (760) 326-0222 |
| NPI Number | 1518424274 |
|---|---|
| Provider Enumeration Date | 02/28/2019 |
| Last Update Date | 02/28/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518424274 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Tri-state Community Healthcare Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1402 Bailey Ave, Needles, CA 92363 Phone: 760-326-0222 Fax: 769-326-0221 |