TRI STATE COMMUNITY HEALTH CENTER (NPI# 1285002634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285002634 |
| Entity Type | Organization |
| Organization Name | TRI STATE COMMUNITY HEALTH CENTER |
| Practice Address |
4041 Knight Arnold Rd Suite 100 Memphis TN 38118-2128 |
| Practice Telephone | 9013600442 |
| Practice Fax Number | 9013600865 |
| Mailing Telephone | 9013600442 |
| Mailing Fax Number | 9013600865 |
| Enumeration Date | 2015-09-02 |
| Last Update Date | 2015-09-02 |
| Authorized Official Name | MR. WALTER DIGGS (PRESIDENT) |
| Authorized Official Telephone | 9013600442 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities |
| Street Address |
4041 KNIGHT ARNOLD RD SUITE 100 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38118-2128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932277019 | Robert L. Baldwin | Psychiatry & Neurology | 4041 Knight Arnold Rd, Memphis, TN 38118-2128 | 2006-11-30 |
| 1841825940 | Ruthie Otulana | Social Worker | 4041 Knight Arnold Rd, Memphis, TN 38118-2128 | 2020-03-09 |
| 1861791774 | Michael Okuneye | Registered Nurse | 4041 Knight Arnold Rd, Memphis, TN 38118-2128 | 2011-03-17 |
| 1528367505 | Olufunke T Odetunde | Registered Nurse | 4041 Knight Arnold Rd, Memphis, TN 38118-2128 | 2011-03-16 |
| 1003115056 | Kenneth M Harshman | Registered Nurse | 4041 Knight Arnold Rd, Memphis, TN 38118-2128 | 2011-03-16 |
| 1871765891 | Angela Latrice Burnett-martin | Nurse Practitioner | 4041 Knight Arnold Rd, Memphis, TN 38118-2128 | 2008-03-31 |
| 1154599744 | Raques Woodard | Case Manager/Care Coordinator | 4041 Knight Arnold Rd, Memphis, TN 38118-2128 | 2008-02-15 |
| 1760664676 | Brittany A. Weed | Case Manager/Care Coordinator | 4041 Knight Arnold Rd, Memphis, TN 38118-2128 | 2007-12-03 |
| 1871775775 | Daria F Ellis | Case Manager/Care Coordinator | 4041 Knight Arnold Rd, Memphis, TN 38118-2128 | 2007-12-03 |
| 1528240439 | Terrence A Ryans | Case Manager/Care Coordinator | 4041 Knight Arnold Rd, Memphis, TN 38118-2128 | 2007-12-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689295719 | Dmc Memphis, LLC | Clinic/Center | 3000 Getwell Road, Memphis, TN 38118 | 2020-04-29 |
| 1053958736 | Randy Johnson | Technician | 3221 Gina Drive, Memphis, TN 38118 | 2019-12-02 |
| 1215415823 | Life Partners Home Care Agency, LLC | In Home Supportive Care | 2879 Knightway Road, Memphis, TN 38118 | 2018-08-06 |
| 1326589318 | Latasha Rachell Martin | Nurse Practitioner | 3960 Knight Arnold Rd, Suite 205, Memphis, TN 38118 | 2017-03-10 |
| 1770957375 | Teresa Hughes | Social Worker | 3180 Winchester Road, Memphis, TN 38118 | 2015-11-19 |
| 1891170437 | Bensons Express Pharmacy | Health Maintenance Organization | 3081 South Perkins Rd, Memphis, TN 38118 | 2015-07-24 |
| 1083044226 | Kimberly Winters Griffin | Nurse's Aide | 4100 Tarry Park Apt1, Memphis, TN 38118 | 2013-11-26 |
| 1508017211 | Amy Renee Rike | Counselor | 3960 Knight Arnold Rd. Suite 300, Delta Medical Center - Outpatient Psychiatric Services, Memphis, TN 38118 | 2008-10-01 |
| 1396996047 | Carol Lynn Harriss | Registered Nurse | 2620thousand Oaks Blvd, Suite 2400, Memphis, TN 38118 | 2008-09-30 |
| 1295994671 | Vcphcs I, LLC | Clinic/Center | 4539 Winchester Road, Suite 111, Memphis, TN 38118 | 2008-06-02 |
| Find all providers in zip 38118 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295136349 | Resurrection Health | Clinic/Center | 4095 American Way, Memphis, TN 38118-8339 | 2014-09-09 |
| 1043448632 | Brookhaven Chiropractic Center, Pllc | Clinic/Center | 721 W Brookhaven Cir, Memphis, TN 38117-4503 | 2009-06-23 |
| 1699941195 | Methodist Healthcare Community Care Associates | Clinic/Center | 6400 Shelby View Dr, Suite 101, Memphis, TN 38134-7659 | 2008-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316403405 | Crossroads Treatment Centers of Tennessee, PC | Clinic/Center | 2305 N Gateway Ave Unit 4, Harriman, TN 37748-8683 | 2019-02-14 |
| 1306277041 | Hospital Transitional Care | Clinic/Center | 140 Allenhurst Cir, Franklin, TN 37067-7271 | 2013-12-05 |
| 1255673380 | Downtown Medical Clinic Pllc | Clinic/Center | 113 Hopkins Avenue, Bells, TN 38006 | 2013-03-27 |
| 1164652962 | The Steets Corporation | Clinic/Center | 3566 N Highland Ave, Suite A, Jackson, TN 38305-7890 | 2009-07-15 |
| 1699213348 | County of Blount | Clinic/Center | 301 Mcghee St, Maryville, TN 37801-6811 | 2017-02-02 |
| 1578018909 | Salvus Center, Inc. | Clinic/Center | 556 Hartsville Pike, Suite 200, Gallatin, TN 37066-2491 | 2016-08-15 |
| 1457758112 | Psychiatric Clinic of Green Hills | Clinic/Center | 2125 Belcourt Ave, Nashville, TN 37212-3503 | 2014-11-24 |
| 1720499692 | Chota Community Health Services | Clinic/Center | 3030 Lee Hwy, Athens, TN 37303-5062 | 2014-05-14 |
| 1609113224 | Montgomery County Health Department | Clinic/Center | 330 Pageant Ln, Clarksville, TN 37040-3854 | 2013-01-16 |
| 1154666451 | The Vaccination Clinic, PC | Clinic/Center | 7648 Highway 70 S, Suite 15, Nashville, TN 37221-1742 | 2012-11-28 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on TRI STATE COMMUNITY HEALTH CENTER.
| 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.