TRI-STATE COMMUNITY HEALTHCARE CENTER NPI 1841703253

NPI Information

NPI: 1841703253
Provider Name: TRI-STATE COMMUNITY HEALTHCARE CENTER
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 03D2169568

Address:
8700 S HIGHWAY 95
MOHAVE VALLEY, AZ
ZIP 86440
Phone: (928) 768-7113
Get Directions

TRI-STATE COMMUNITY HEALTHCARE CENTER is a federally qualified health center (fqhc) clinic center in Mohave Valley, AZ. TRI-STATE COMMUNITY HEALTHCARE CENTER NPI is 1841703253. The provider is registered as an organization entity type.

The provider's business location address is:

8700 S HIGHWAY 95
MOHAVE VALLEY, AZ
ZIP 86440-519
Phone: (928) 768-7113

The provider's authorized official is Aram Manoukian .
The authorized official title is Ceo and has the following contact phone number (760) 326-0222.

The CLIA number assigned to this NPI record is 03D2169568 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/7/2017 and was last updated on 11/7/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	261QC1500X	Clinic/Center	Community Health	No
2	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	Yes
3	261QP2300X	Clinic/Center	Primary Care	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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