National Provider Identifier Database

TRI STATE COMMUNITY HEALTHCARE CENTER
Federally Qualified Health Center (FQHC)

A Federally Qualified Health Center (FQHC) is a community-based organization that provides comprehensive primary care and preventive care, including health, oral, and mental health/substance abuse services to persons of all ages, regardless of their ability to pay or health insurance status.


Contact Information

TRI-STATE COMMUNITY HEALTHCARE CENTER
8700 S HIGHWAY 95
MOHAVE VALLEY, AZ86440-8519
Phone: 928-768-7113
Fax:
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X
Community Health 261QC1500X
Primary Care 261QP2300X

* Indicates primary specialty

NPI Profile & details for TRI-STATE COMMUNITY HEALTHCARE CENTER

NPI Number 1841703253
Legal business name
LBN
TRI-STATE COMMUNITY HEALTHCARE CENTER
Authorized official ARAM MANOUKIAN - (CEO)
Entity Organization
Organization subpart Yes
Enumeration date 11/07/2017
Last updated 11/07/2017 - About 9 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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