| Organization Name: | TRI CITY HEALTH PARTNERSHIP |
| NPI Number: | 1073899118 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SHANNON WATSON (EXECUTIVE DIRECTOR) |
| Mailing Address: | 318 Walnut St St Charles |
| State: | IL US |
| Postal Code: | 601742725 |
| Phone Number: | 6303779277 |
| Fax Number: | |
| NPI Enumeration Date: | 11/02/2011 |
| NPI Last Update Date: | 11/02/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QC1500X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |