Organization · Type 2 NPI

Tri-State Community Healthcare Center

Federally Qualified Health Center (FQHC) · Adelanto, CA

NPI number 1780292839 Active

Practice location

11328 Bartlett Ave Ste 3
Adelanto, CA 92301-1913

Fax (760) 237-8847

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center 261QD0000XNone listed
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

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

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About NPI 1780292839

Tri-State Community Healthcare Center's National Provider Identifier is 1780292839, issued on Jul 15, 2020. 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 30, 2021.