Tri-State Community Healthcare Center

A Medicare group practice based in Laughlin, NV: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 5597991968), with 90 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
5597991968The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
Enrolled in
AZ, CA, NV
Enrollments
8
Group size
12 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
15In 8 places

Enrollment records 8

Enrollment IDStateProvider typeNPI
O20250927000394 NV Part A Provider - Federally Qualified Health Center (FQHC) 1174125892
O20131114000307 CA Part B Supplier - Clinic/Group Practice 1922356369
O20150909002402 CA Part A Provider - Federally Qualified Health Center (FQHC) 1922356369
O20180418002336 CA Part A Provider - Federally Qualified Health Center (FQHC) 1508379017
O20211025001621 NV Part A Provider - Federally Qualified Health Center (FQHC) 1174125892
O20220329002701 NV Part B Supplier - Clinic/Group Practice 1174125892
O20200603000665 AZ Part B Supplier - Clinic/Group Practice 1841703253
O20191016001785 AZ Part A Provider - Federally Qualified Health Center (FQHC) 1841703253

NPIs in this group 4

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 90

Clinicians who reassign their Medicare benefits to this group (89) or whom Care Compare lists as members (12).

Sources for this page