| Tri-state Community Healthcare Center | |
|
11328 Bartlett Ave Ste 3 Adelanto CA 92301-1913 | |
| (760) 237-8848 | |
| (760) 237-8847 |
| Full Name | Tri-state Community Healthcare Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 11328 Bartlett Ave Ste 3, Adelanto, California |
| Authorized Official Name and Position | Crystale Mineros (MANAGED CARE DIRECTOR) |
| Authorized Official Contact | 3232970884 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri-state Community Healthcare Center 11328 Bartlett Ave Ste 3 Adelanto CA 92301-1913 Ph: (760) 530-9944 | Tri-state Community Healthcare Center 11328 Bartlett Ave Ste 3 Adelanto CA 92301-1913 Ph: (760) 237-8848 |
| NPI Number | 1780292839 |
|---|---|
| Provider Enumeration Date | 07/15/2020 |
| Last Update Date | 04/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780292839 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Peng Dental Corp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12100 Palmdale Rd Ste B6, Adelanto, CA 92301 Phone: 760-530-9941 Fax: 760-530-0944 |