NPI 1083055081

Tri-State Community Health Center, INC

Organisation Federally Qualified Health Center (FQHC) Berkeley Springs, WV

Practice location

Address: 261 Berkmore Pl Suite 1a, Berkeley Springs, WV 25411-6247
Phone: (304) 258-5790
Fax: (304) 258-3745
Mailing address: 109 Rayloc Dr, Hancock, MD 21750-1518

Authorised official

Name: Sheila J Deshong
Title: Coo
Phone: (301) 678-5187

Registered specialties

Federally Qualified Health Center (FQHC) Primary

Ambulatory Health Care Facilities Taxonomy 261QF0400X Licence 2291-3644 (WV)

Other Clinic/Center providers in West Virginia →

Registry record

NPI: 1083055081
Entity type: Organization
NPI issued: 8 Jul 2013
Record last updated: 21 Feb 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.