Tri-State Community Healthcare Center

NPI #1508379017 in Adelanto, California

Provider Information

NPI Number
1508379017
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
Nov 7, 2017
Last Updated
Sep 29, 2025

Practice Location

Address
11499 BARTLETT AVE
ZIP Code
92301-1902
Phone
(760) 444-4258

Authorized Official

Name
CRYSTALE MINEROS
Title
CREDENTIALING MANAGER
Phone
(909) 575-7161

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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