Tri-State Family Healthcare

LBN: Tri State Medical Clinic Inc
Tri-State Family Healthcare is an health care organization with primary practice located at 3503 Cumberland Ave , Middlesboro KY 40965-2611. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Rural Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty. Tri State Medical Clinic Inc can be contacted via phone (606) 242-3100, or through Roark, Larry B via phone (606) 242-3100.

Contact Information

Primary practice address
3503 Cumberland Ave Middlesboro KY 40965-2611
Phone: (606) 242-3100
Fax: (606) 242-3984
Website:
Map and Directions
Authorized official contact:
Name: Roark, Larry B NP-C
Phone: (606) 242-3100

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1649370719
LBN Legal business name Tri State Medical Clinic Inc
DBA Doing business as Tri-State Family Healthcare
Authorized official Roark, Larry B NP-C
Entity Organization
Organization subpart 1 No
Enumeration date Sep 25th, 2006
Last updated Jan 31st, 2020 - about 4 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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