TRI-STATE COMMUNITY HEALTH CENTER, INC (NPI# 1083055081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083055081 |
| Entity Type | Organization |
| Organization Name | TRI-STATE COMMUNITY HEALTH CENTER, INC |
| Practice Address |
261 Berkmore Pl Suite 1a Berkeley Springs WV 25411-6247 |
| Mailing Address |
109 Rayloc Dr Hancock MD 21750-1518 |
| Practice Telephone | 3042585790 |
| Practice Fax Number | 3042583745 |
| Mailing Telephone | 3016785187 |
| Mailing Fax Number | 3016785797 |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2014-02-21 |
| Authorized Official Name | MS. SHEILA J DESHONG (COO) |
| 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) |
2291-3644 | WV | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FQHC | 511021 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932159464 | Tri-state Community Health Center, Inc | Clinic/Center | 525 Fulton Drive, Mcconnellsburg, PA 17233-1143 | 2006-05-12 |
| 1659709277 | Tri-state Community Health Center, Inc | Nurse Practitioner | 621 Kelly Rd, Cumberland, MD 21502-2878 | 2013-10-16 |
| 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 |
261 BERKMORE PL SUITE 1A |
| City | BERKELEY SPRINGS |
| State | WV |
| Zip Code | 25411-6247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326045576 | Kenneth R Reed | Pharmacist | 261 Berkmore Pl, Suite 1c, Berkeley Springs, WV 25411-6247 | 2005-07-01 |
| 1912479908 | Sarah Kathleen Pollack | Nurse Practitioner | 261 Berkmore Pl, Berkeley Springs, WV 25411-6247 | 2019-01-02 |
| 1598039364 | Sarita Elaine Bowers | Nurse Practitioner | 261 Berkmore Pl, Suite 1a, Berkeley Springs, WV 25411-6247 | 2012-02-26 |
| 1770857542 | David James Bowers | Nurse Practitioner | 261 Berkmore Pl, Suite 1a, Berkeley Springs, WV 25411-6247 | 2012-02-26 |
| 1437271707 | Graves Medical Practice Inc | Family Medicine | 261 Berkmore Pl, Suite 1a, Berkeley Springs, WV 25411-6247 | 2007-04-06 |
| 1609958487 | Reeds Pharmacy LLC | Pharmacy | 261 Berkmore Pl, Ste 1c, Berkeley Springs, WV 25411-6247 | 2006-10-20 |
| 1346228293 | Tammy Walker Davison | Pharmacist | 261 Berkmore Pl, Suite 1c, Berkeley Springs, WV 25411-6247 | 2006-01-02 |
| 1235136482 | Tally R Reed | Pharmacist | 261 Berkmore Pl, Suite 1c, Berkeley Springs, WV 25411-6247 | 2005-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013489541 | War Memorial Hospital, Inc. | Internal Medicine | 3774 Valley Road, Berkeley Springs, WV 25411 | 2018-12-21 |
| 1568943397 | Julie Washick | Registered Nurse | Morgan County Board of Education, 247harrison Avenue, Berkeley Springs, WV 25411 | 2018-08-29 |
| 1316493950 | Matthew Ronald Jury | Pharmacist | 8 Gayle Drive, Berkeley Springs, WV 25411 | 2016-09-01 |
| 1457645467 | Zachary Ian Law | Dentist | 345 Concord Avenue, Berkeley Springs, WV 25411 | 2011-06-07 |
| 1467757187 | Wilma Dean Peters | Registered Nurse | 102 Whites Gap Road, Berkeley Springs, WV 25411 | 2011-01-12 |
| 1578877742 | Community Physicians of War Memorial | General Practice | 77 War Memorial Drive, Berkeley Springs, WV 25411 | 2010-07-30 |
| 1194046623 | Mls Counseling Services, LLC | Counselor | 3361 Valley Road, Berkeley Springs, WV 25411 | 2010-06-18 |
| 1053540781 | Amanda Gail Michael | Family Medicine | 2055 Valley Road, Berkeley Springs, WV 25411 | 2009-07-02 |
| 1346426871 | Gina Didawick Mellott | Registered Nurse | 247 Harrison Avenue, Morgan County Board of Education, Berkeley Spgs, WV 25411 | 2008-01-15 |
| 1811197585 | Robert James Dixon | Chiropractor | 122 Independence St., Berkeley Springs, WV 25411 | 2007-07-20 |
| Find all providers in zip 25411 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508064510 | Shenandoah Valley Medical System, Inc. | Clinic/Center | 106 Sand Mine Rd Ste 7, Berkeley Springs, WV 25411-7457 | 2007-07-11 |
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| 1063048189 | Community Care of West Virginia, Inc. | Clinic/Center | 34 N Kanawha St, Buckhannon, WV 26201-2714 | 2020-03-20 |
| 1619503422 | Change Inc | Clinic/Center | 114 Taylor Ave, Weirton, WV 26062-4635 | 2020-03-13 |
| 1861023699 | Logan-mingo Area Mental Health, Inc | Clinic/Center | 2954 Buffalo Creek Road, Chattaroy, WV 25667 | 2020-01-30 |
| 1689220402 | New River Health Association, Inc. | Clinic/Center | 2 Greyhound Ln., Smithers, WV 25186 | 2019-08-16 |
| 1740836873 | Williamson Health & Wellness Center Inc | Clinic/Center | 5 Parkway Dr, Williamson, WV 25661-3428 | 2019-08-14 |
| 1699321729 | Williamson Health & Wellness Center Inc | Clinic/Center | 50 Panther Blvd, Williamson, WV 25661-7441 | 2019-08-14 |
| 1083260129 | Williamson Health & Wellness Center Inc | Clinic/Center | 300 Blue Devil Lane, Kermit, WV 25661 | 2019-08-14 |
| 1225684731 | Williamson Health & Wellness Center Inc | Clinic/Center | 1000 King Coal Hwy, Delbarton, WV 25670-9529 | 2019-08-12 |
| Find all providers with the same taxonomy | ||||
| City | BERKELEY SPRINGS |
| Zip Code | 25411 |
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.