Tri-State Community Healthcare Center
Clinic/Center, Federally Qualified Health Center (FQHC) in Adelanto, CA. Organization (NPI-2).
NPI number1336646397
StatusActive
Last updated in NPPESApr 6, 2018
Details
- NPI
- 1336646397
- Entity type
- Organization (NPI-2)
- Legal business name
- Tri-State Community Healthcare Center
- Organization subpart
- Yes
- Enumeration date
- Apr 6, 2018
- Last updated
- Apr 6, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
Other names
- Mobile Clinic (Other Name)
Practice location
11888 Bartlett AveAdelanto, CA 92301-1709
Phone 760-326-0222
Mailing address
1402 Bailey AveNeedles, CA 92363-3104
Other practice locations
1402 Bailey Ave
Needles, CA 92363-3104
Needles, CA 92363-3104
Phone 760-326-0222
Authorized official
Aram Manoukian
Ceo
7603260222
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Federally Qualified Health Center (FQHC) providers in Adelanto, CA
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.