Tri-state Community Healthcare Center - Medicare Primary Care in Needles, CA

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Tri-state Community Healthcare Center is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Needles, California. The current practice location for Tri-state Community Healthcare Center is 1402 Bailey Ave, Needles, California. For appointments, you can reach them via phone at (760) 326-0222. The mailing address for Tri-state Community Healthcare Center is 820 W Broadway St, Needles, California and phone number is (760) 326-0222.

Tri-state Community Healthcare Center is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1922356369. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (760) 326-0222.

Contact Information

Tri-state Community Healthcare Center
1402 Bailey Ave
Needles
CA 92363-3104
(760) 326-0222
(769) 326-0221

Map and Direction


Primary Care Clinic Profile

Full NameTri-state Community Healthcare Center
SpecialityClinic/Center
Location1402 Bailey Ave, Needles, California
Authorized Official Name and PositionAram Manoukian (CEO)
Authorized Official Contact8186526612
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Tri-state Community Healthcare Center
820 W Broadway St
Needles
CA 92363-2729

Ph: (760) 326-0222		Tri-state Community Healthcare Center
1402 Bailey Ave
Needles
CA 92363-3104

Ph: (760) 326-0222

NPI Details:

NPI Number1922356369
Provider Enumeration Date08/15/2012
Last Update Date06/08/2023

Medicare PECOS Information:

Medicare PECOS PAC ID5597991968
Medicare Enrollment IDO20131114000307

Medical Identifiers

Medical identifiers for Tri-state Community Healthcare Center such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922356369NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QC1500XClinic/center - Community Health (* (Not Available))Secondary
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (Not Available))Primary
261QP2300XClinic/center - Primary Care (California)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Tri-state Community Healthcare Center acts as a billing entity for following providers:
Provider NameKhanh Ngoc Tuan Duong
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1295754125
PECOS PAC ID: 8527959436
Enrollment ID: I20040322000912
Provider NameNastaran G Minassians
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679741425
PECOS PAC ID: 3577529247
Enrollment ID: I20041203000868
Provider NameHelen Pensanti
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1659707586
PECOS PAC ID: 9335198787
Enrollment ID: I20050112001194
Provider NameShahram S Mirhashemi
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1912071556
PECOS PAC ID: 3476645235
Enrollment ID: I20070823000977
Provider NameBradley S Walker
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1194783530
PECOS PAC ID: 6709899966
Enrollment ID: I20090204000390
Provider NameSteven L Rosenblatt
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1134142201
PECOS PAC ID: 3072596642
Enrollment ID: I20091223000141
Provider NameParviz Akhavan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1235286436
PECOS PAC ID: 0042288508
Enrollment ID: I20101006000818
Provider NameJarnail S Gugga
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1598769846
PECOS PAC ID: 7719174291
Enrollment ID: I20101209000627
Provider NameSusan Tanner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932537511
PECOS PAC ID: 6608093703
Enrollment ID: I20140813002965
Provider NameMark Folmsbee
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1427393123
PECOS PAC ID: 6800184557
Enrollment ID: I20161012000646
Provider NameNatalie Rae Goodermont
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740690783
PECOS PAC ID: 7416235809
Enrollment ID: I20161107001189
Provider NameCzarina L Perello
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306188958
PECOS PAC ID: 7012212632
Enrollment ID: I20170220001903
Provider NameTaline Bedelian
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396141008
PECOS PAC ID: 4486967742
Enrollment ID: I20170329001625
Provider NameNathalie Torres Alfonso
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326475724
PECOS PAC ID: 5395971311
Enrollment ID: I20190531001438
Provider NameTreniese I Gill
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568953487
PECOS PAC ID: 6002140894
Enrollment ID: I20190627002905
Provider NameCornelio Emmanuel Bengzon Rustia
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033624036
PECOS PAC ID: 7911910245
Enrollment ID: I20200414003212
Provider NameQianna Liu
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1285121582
PECOS PAC ID: 0941549760
Enrollment ID: I20210707002425
Provider NameLiliana Montoya
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497417281
PECOS PAC ID: 9436557980
Enrollment ID: I20211013002382
Provider NameMichelle Gail Ramos
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629582465
PECOS PAC ID: 3274925979
Enrollment ID: I20220107001882
Provider NameAdamma Epoh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487030656
PECOS PAC ID: 7416246277
Enrollment ID: I20220113001337
Provider NameTalato Kabore
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396349395
PECOS PAC ID: 3779983028
Enrollment ID: I20220811000255
Provider NameAshley L Woodcock
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841958220
PECOS PAC ID: 6709269186
Enrollment ID: I20220817003008
Provider NameRoxanne Shizu Barbe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346779378
PECOS PAC ID: 7810369055
Enrollment ID: I20230215002874
Provider NameAndrew Lazo
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1407242001
PECOS PAC ID: 2062886062
Enrollment ID: I20230314001972
Provider NameAlexander Spencer Edwards
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1629109269
PECOS PAC ID: 8123484979
Enrollment ID: I20230519002460
Provider NameYun Hur
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1437872827
PECOS PAC ID: 7517334592
Enrollment ID: I20230905002719
Provider NameVaneet Kaur Kaler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467097303
PECOS PAC ID: 8022463876
Enrollment ID: I20231013001285
Provider NameMaria Socorro Ruiz-rodriguez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356846281
PECOS PAC ID: 0547514283
Enrollment ID: I20231017002448
Provider NameOuk Hyun Lee
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1669950069
PECOS PAC ID: 6002261559
Enrollment ID: I20231018002434
Provider NameSonja Angelique Mann
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821674839
PECOS PAC ID: 4981090016
Enrollment ID: I20240119001949
Provider NameSafia L Hussen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124805270
PECOS PAC ID: 3870938616
Enrollment ID: I20240301003471

Reviews and Comments


Clinic/Center in Needles, CA

Tri-state Community Healthcare Center
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1402 Bailey Ave Ste A, Needles, CA 92363
Phone: 760-326-0222    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.