Organization · Type 2 NPI

Tri-State Community Healthcare Center

Federally Qualified Health Center (FQHC) · Adelanto, CA

NPI number 1336646397 Active

Practice location

11888 Bartlett Ave
Adelanto, CA 92301-1709

Call (760) 326-0222 Map

Mailing address

1402 Bailey Ave
Needles, CA 92363-3104

Other practice locations

1402 Bailey Ave, Needles, CA 92363-3104 · (760) 326-0222

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

2 other providers at this address

Other federally qualified health center (fqhc) providers in Adelanto

See all in Adelanto →

NPI record

NPI: 1336646397
Entity type: Organization (Type 2)
Issued: Apr 6, 2018
Last updated: Apr 6, 2018
Status: Active
Subpart: Yes of Tri-State Community Healthcare Center

Other names

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Mobile Clinic · other name
Mobile Clinic · other name

Authorized official

Aram Manoukian
CEO
(760) 326-0222

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1336646397

Tri-State Community Healthcare Center's National Provider Identifier is 1336646397, issued on Apr 6, 2018. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Adelanto, CA. The record was last updated on Apr 6, 2018.