| Tri State Community Clinic, LLC | |
|
1033 E Mt. Pleasant Rd., Ste. D. Evansville IN 47725 | |
| (888) 492-8722 | |
| (812) 491-0333 |
| Full Name | Tri State Community Clinic, LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 1033 E Mt. Pleasant Rd., Ste. D., Evansville, Indiana |
| Authorized Official Name and Position | Ronald Chad Perkins (CMO) |
| Authorized Official Contact | 8884928722 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri State Community Clinic, LLC 1033 E Mt. Pleasant Rd., Ste. D Evansville IN 47725 Ph: (888) 492-8722 | Tri State Community Clinic, LLC 1033 E Mt. Pleasant Rd., Ste. D. Evansville IN 47725 Ph: (888) 492-8722 |
| NPI Number | 1104317346 |
|---|---|
| Provider Enumeration Date | 05/23/2018 |
| Last Update Date | 05/23/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104317346 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
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