Tri-State Community Health Center, Inc

LBN: Tri-State Community Health Center, Inc
Tri-State Community Health Center, Inc is an health care organization with primary practice located at 621 Kelly Rd , Cumberland MD 21502-2878. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as the primary health care specialty. Tri-State Community Health Center, Inc can be contacted via phone (301) 722-3270, or through Woodal, Satricia A via phone (301) 678-5187.

Contact Information

Primary practice address
621 Kelly Rd Cumberland MD 21502-2878
Phone: (301) 722-3270
Fax: (301) 678-3276
Website:
Map and Directions
Authorized official contact:
Name: Woodal, Satricia A
Phone: (301) 678-5187

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R200178 Maryland

Profile Details

NPI number 1659709277
LBN Legal business name Tri-State Community Health Center, Inc
DBA Doing business as
Authorized official Woodal, Satricia A
Entity Organization
Organization subpart 1 No
Enumeration date Oct 16th, 2013
Last updated Oct 16th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659709277 NPPES
Maryland Other 211828 MEDICARE FQHC

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