TRI-STATE COMMUNITY HEALTH CENTER, INC (NPI# 1932159464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932159464 |
| Entity Type | Organization |
| Organization Name | TRI-STATE COMMUNITY HEALTH CENTER, INC |
| Practice Address |
525 Fulton Drive Mcconnellsburg PA 17233-1143 |
| Mailing Address |
109 Rayloc Dr Hancock MD 21750-1518 |
| Practice Telephone | 7174853850 |
| Practice Fax Number | 7174853725 |
| Mailing Telephone | 3016785187 |
| Mailing Fax Number | 3016785797 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2007-10-12 |
| Authorized Official Name | SHEILA J DESHONG (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3016785187 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659709277 | Tri-state Community Health Center, Inc | Nurse Practitioner | 621 Kelly Rd, Cumberland, MD 21502-2878 | 2013-10-16 |
| 1083055081 | Tri-state Community Health Center, Inc | Clinic/Center | 261 Berkmore Pl, Suite 1a, Berkeley Springs, WV 25411-6247 | 2013-07-08 |
| 1457301939 | Tri-state Community Health Center, Inc | Clinic/Center | 621 Kelly Rd, Cumberland, MD 21502-2878 | 2006-05-12 |
| 1366491201 | Tri-state Community Health Center, Inc | Clinic/Center | 130 W High St, Hancock, MD 21750-1143 | 2006-05-09 |
| 1467401372 | Tri-state Community Health Center, Inc | Clinic/Center | 12502 Willowbrook Road, Ste 550, 5th Flr., Cumberland, MD 21502-6393 | 2006-05-08 |
| Street Address |
525 FULTON DRIVE |
| City | MCCONNELLSBURG |
| State | PA |
| Zip Code | 17233-1143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619922358 | Carrie Dawn Deshong | Physician Assistant | 525 Fulton Drive, Mcconnellsburg, PA 17233 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124394655 | Amy J Whitsel | Nurse Practitioner | 114 Peach Orchard Road, Mcconnellsburg, PA 17233 | 2012-03-29 |
| 1083780407 | Steven S Cohen | Family Medicine | 292 Buchanan Trail, Mcconnellsburg, PA 17233 | 2006-11-28 |
| 1063591238 | Svm3 Pharma Inc | Pharmacy | 182 Buchanan Trail, Suite: 150, Mcconnellsburg, PA 17233 | 2006-11-06 |
| 1821179615 | Joseph G Wolfe | Dentist | 214 Lincoln Way East, Mcconnellsburg, PA 17233 | 2006-10-18 |
| 1619951183 | Elizabeth T. Gotwals | Social Worker | 214 Peach Orchard Road, Mc Connellsburg, PA 17233 | 2005-11-30 |
| 1790300374 | Abagael Marie Peck | Physician Assistant | 214 Peach Orchard Road, Mcconnellsburg, PA 17233 | 2020-06-10 |
| 1831691625 | Jordan Alexis Kaminsky | Occupational Therapist | 214 Peach Orchard Road, Mcconnellsburg, PA 17233 | 2018-03-07 |
| 1295102291 | Courtney Cox | Physical Therapist | 214 Peach Orchard Rd, Mc Connellsburg, PA 17233 | 2015-08-25 |
| 1962736934 | Fulton Behavioral Health Services PC | Psychologist | 214 Peach Orchard Road, Mc Connellsburg, PA 17233 | 2009-09-23 |
| 1801029087 | Jennifer A. Rhodes | Counselor | 214 Peach Orchard Road, Mc Connellsburg, PA 17233 | 2009-09-03 |
| Find all providers in zip 17233 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| Find all providers with the same taxonomy | ||||
| City | MCCONNELLSBURG |
| Zip Code | 17233 |
Please comment or provide details below to improve the information on TRI-STATE COMMUNITY HEALTH CENTER, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.