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Contact Information

TRI-STATE COMMUNITY HEALTHCARE CENTER
8700 S HIGHWAY 95
MOHAVE VALLEY, AZ86440-8519
 Phone: 928-768-7113
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
 

Community Health

261QC1500X
 

Primary Care

261QP2300X
Indicates primary specialty

NPI Profile & details for TRI-STATE COMMUNITY HEALTHCARE CENTER

NPI # 1841703253
LBN Legal business name TRI-STATE COMMUNITY HEALTHCARE CENTER
Authorized official ARAM MANOUKIAN - (CEO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 11/07/2017
Last updated 11/07/2017 - About 9 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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