Tri-State Community Healthcare Center

NPI #1336646397 in Adelanto, California

Provider Information

NPI Number: 1336646397
Entity Type: Organization
Organization Name: Tri-State Community Healthcare Center
Subpart: Yes (part of a larger organization)
Parent Organization: TRI-STATE COMMUNITY HEALTHCARE CENTER
Primary Specialty: Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date: Apr 6, 2018
Last Updated: Apr 6, 2018

Practice Location

Address: 11888 BARTLETT AVE
City: Adelanto
State: California
ZIP Code: 92301-1709
Phone: (760) 326-0222

Authorized Official

Name: ARAM MANOUKIAN
Title: CEO
Phone: (760) 326-0222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC)	261QF0400X	Primary

Additional Practice Locations

1402 Bailey Ave

Needles, CA, 92363-3104

(760) 326-0222

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