| Organization Name: | TRI-STATE COMMUNITY HEALTHCARE CENTER |
| NPI Number: | 1922356369 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ARAM MANOUKIAN (CEO) |
| Mailing Address: | 1402 Bailey Ave Needles |
| State: | CA US |
| Postal Code: | 923633104 |
| Phone Number: | 7603260222 |
| Fax Number: | 7603260221 |
| NPI Enumeration Date: | 08/15/2012 |
| NPI Last Update Date: | 03/24/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |