Tri-Cities Community Health

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

TRI-CITIES COMMUNITY HEALTH

Practice address

829 Goethals Dr
Richland, WA 99352

Phone

(509) 547-2204

Fax

(509) 946-0051

NPI assigned

Mar 4, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kristy Needham

Title

Ceo

Phone

(509) 547-2204

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Federally qualified health center certification: CCN 941066

Legal name

TRI-CITIES COMMUNITY HEALTH

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Dec 27, 2019

Last certification

Dec 27, 2019

Ownership / control type

For profit – partnership

Organization structure

CorporationNon-profit

Incorporated

May 20, 1981 in WA

Enrollment address

829 Goethals Dr
Richland, WA 99352-3529

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Tri-Cities Community Health

  • Federally Qualified Health Center (FQHC)
  • Pasco, WA
  • NPI 1225145105

  O20200204002296

  Same enrollment

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Amanda L Lang, O.D.

  • Optometrist
  • Ludington, MI
  • NPI 1295705846

  W-2 Managing Employee

  CMS ownership

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1457049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1053771998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1452",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993011223",
            "telephone_number": "509-547-2204",
            "fax_number": "509-946-0051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 GOETHALS DR",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "99352",
            "telephone_number": "509-547-2204",
            "fax_number": "509-946-0051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-CITIES COMMUNITY HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-04",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A",
        "authorized_official_last_name": "NEEDHAM",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "509-547-2204"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8327611",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tri Cities Maternal Fetal Medicine PLLC
• Tri Cities Sleep Medical LLC
• Tri-Cities Chaplaincy
• Tri-Cities Chaplaincy
• Tri-Cities Chaplaincy
• Tri-Cities Community Health
• Tri-Cities Community Health
• Tri-Cities Community Health
• Tri-Cities Diabetes PLLC
• Tri-Cities Digestive Health Center, P.S.

• Federally Qualified Health Center (FQHC) in Richland, WA
• Providers in Richland, WA by specialty
• Federally Qualified Health Center (FQHC) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.