TRI-CITIES COMMUNITY HEALTH (NPI# 1659571362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659571362 |
| Entity Type | Organization |
| Organization Name | TRI-CITIES COMMUNITY HEALTH |
| Other Organization Name | BENTON FRANKLIN COUNTY DETOXIFICATION CENTER |
| Practice Address |
715 W Court St Pasco WA 99301 |
| Mailing Address |
1020 S 7th Ave Pasco WA 99301-5794 |
| Practice Telephone | 5095456506 |
| Practice Fax Number | 5095460520 |
| Mailing Telephone | 5095472207 |
| Mailing Fax Number | 5095428836 |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2018-06-28 |
| Authorized Official Name | MONICA G CARDOZA (MEDICAL STAFF SPECIALIST) |
| Authorized Official Telephone | 5095431920 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1995026 | 05 |
| Other Name | Type Code |
|---|---|
| Benton Franklin County Detoxification Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316341183 | Tri-cities Community Health | General Practice | 830 W Vineyard Dr, Kennewick, WA 99336 | 2014-10-22 |
| 1861896631 | Tri-cities Community Health | General Practice | 1801 E Sheppard St, Pasco, WA 99301 | 2014-10-22 |
| 1861698987 | Tri-cities Community Health | Family Medicine | 3180 W Clearwater Ave Ste A, Kennewick, WA 99336 | 2007-06-25 |
| 1215588371 | Tri-cities Community Health | Community/Behavioral Health | 715 W Court St, Pasco, WA 99301-4153 | 2019-09-20 |
| 1871150334 | Tri-cities Community Health | Counselor | 3180 W Clearwater Ave Ste E, Kennewick, WA 99336-2765 | 2019-05-21 |
| 1730696832 | Tri-cities Community Health | Pharmacy | 721 S Auburn St, Kennewick, WA 99336-5665 | 2018-01-10 |
| 1457868556 | Tri-cities Community Health | Pharmacy | 915 Goethals Dr, Richland, WA 99352-3527 | 2018-01-10 |
| 1619417516 | Tri-cities Community Health | Clinic/Center | 721 S Auburn St, Kennewick, WA 99336 | 2017-02-27 |
| 1750825444 | Tri-cities Community Health | Clinic/Center | 915 Goethals Dr, Richland, WA 99352 | 2016-12-14 |
| 1053771998 | Tri-cities Community Health | Clinic/Center | 829 Goethals Dr, Richland, WA 99352 | 2016-03-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | TRI-CITIES COMMUNITY HEALTH | 800 W Court St, Pasco, WA 99301-4175 |
| Washington State Corporations | TRI-CITIES COMMUNITY HEALTH FOUNDATION | 800 W Court St, Pasco, WA 99301-4175 |
| Street Address |
715 W COURT ST |
| City | PASCO |
| State | WA |
| Zip Code | 99301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639145717 | Robert J Baemmert | Dentist | 715 W Court St, Pasco, WA 99301-4153 | 2006-02-27 |
| 1659995504 | Tri Cities Community Health | Clinic/Center | 715 W Court St, Pasco, WA 99301-4153 | 2020-06-05 |
| 1538796487 | Hannah Rimes | Dietitian, Registered | 715 W Court St, Pasco, WA 99301-4153 | 2020-03-23 |
| 1003442245 | Bobbi Jean Thompson | Dental Hygienist | 715 W Court St, Pasco, WA 99301-4153 | 2020-03-19 |
| 1922631290 | Ana Lucia Tapia | Registered Nurse | 715 W Court St, Pasco, WA 99301-4153 | 2020-02-14 |
| 1215588371 | Tri-cities Community Health | Community/Behavioral Health | 715 W Court St, Pasco, WA 99301-4153 | 2019-09-20 |
| 1902453533 | David Hyoungku Kang | Dentist | 715 W Court St, Pasco, WA 99301-4153 | 2019-08-19 |
| 1871064550 | Alma Arevalo | Counselor | 715 W Court St, Pasco, WA 99301-4153 | 2018-12-06 |
| 1386114551 | William Ian Nicksich | Counselor | 715 W Court St, Pasco, WA 99301-4153 | 2018-11-30 |
| 1154817435 | Erendira Zavala | Case Manager/Care Coordinator | 715 W Court St, Pasco, WA 99301-4153 | 2018-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710504550 | Kayshuv Enterprises | Pharmacy | 7505 Sandifur Pkwy, Suite 102, Pasco, WA 99301 | 2020-06-27 |
| 1558883157 | Cecilia Carmen Asenjo | Registered Nurse | 715 W Court Street, Pasco, WA 99301 | 2017-07-14 |
| 1528451085 | Felix Ramos | Dentist | 7425 Wrigley Dr Ste 201, Pasco, WA 99301 | 2015-03-09 |
| 1861896631 | Tri-cities Community Health | General Practice | 1801 E Sheppard St, Pasco, WA 99301 | 2014-10-22 |
| 1649617861 | Thompson.ferguson,steinhart. James.pllc | Dentist | 6525 Burden Blvd, Pasco, WA 99301 | 2013-05-29 |
| 1598008880 | Thompson. Ferguson. Steinhart. James, Pllc | Dentist | 6525 Burden Boulevard, Pasco, WA 99301 | 2013-04-04 |
| 1639421720 | Comprehensive Healthcare | Community/Behavioral Health | 2715 Saint Andrews Loop, Suite C, Pasco, WA 99301 | 2012-10-12 |
| 1497065395 | Danny M Trapp Jr. | Counselor | 516 W. Margaret, Pasco, WA 99301 | 2010-10-14 |
| 1740510486 | Columbia Basin College | Dental Hygienist | 2600 N 20th Ave, Ms T-1, Pasco, WA 99301 | 2009-12-31 |
| 1417286386 | Wanda Marie Good | Surgery | 1200 N 14th Ave Ste 255, Pasco, WA 99301 | 2009-12-23 |
| Find all providers in zip 99301 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114480340 | Ninfa A Valenzuela | Counselor | 3211 W Court St, Pasco, WA 99301-3810 | 2019-04-14 |
| 1275933749 | Kyndra Nicole Scott | Counselor | 824 W Lewis St Ste 110, Pasco, WA 99301-5561 | 2014-09-03 |
| 1861794760 | Carrie Cristina Etherington | Counselor | 2715 Saint Andrews Loop Ste D, Pasco, WA 99301-3386 | 2010-11-27 |
| 1497065395 | Danny M Trapp Jr. | Counselor | 516 W. Margaret, Pasco, WA 99301 | 2010-10-14 |
| 1447431986 | Jennifer Leigh Rossmeisl | Counselor | 2918 West Court Street, Pasco, WA 99301 | 2007-11-26 |
| 1962682823 | Diane Lois Shepherd | Counselor | 3918 W Court St, Pasco, WA 99301-2775 | 2007-11-08 |
| 1992984801 | Hana Barrineau | Counselor | 720 W Court St Ste 6, Pasco, WA 99301-4178 | 2007-10-26 |
| 1154487189 | Hector Bobby Guzman | Counselor | 720 W Court St # 8, Pasco, WA 99301 | 2006-12-27 |
| 1205995198 | Octaviano Salas | Counselor | 720 W Court St, #8, Pasco, WA 99301 | 2006-12-06 |
| 1184106981 | Jose Chavez | Counselor | 224 N 7th Ave, Pasco, WA 99301-5411 | 2018-08-29 |
| Find all providers in PASCO | ||||
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| 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.