NPIMap

Organization Active NPI

Tri-Cities Community Health

  • Community Health Clinic/Center
  • Pasco, WA
National Provider Identifier
1063604056
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
TRI-CITIES COMMUNITY HEALTH
Practice address
515 W Court St
Pasco, WA 99301
Phone
(509) 547-2204
Fax
(509) 542-8836
NPI assigned
Aug 14, 2007
Last updated
Jan 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X Primary

Addresses

Primary practice location

515 W Court St
Pasco, WA 99301

Mailing address

PO Box 1452
Pasco, WA 99301
Phone (509) 547-2204

Other identifiers 1

IdentifierTypeStateIssuer
7590003MedicaidWA

Other names 1

  • CHC La Clinica - Health Maint. Org Other name

National Provider Directory

National Provider Directory
Tax ID family
Tri Cities Community Health18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

Organizations that report the same tax identification number in the National Provider Directory.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1063604056",
    "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": "99301",
            "telephone_number": "509-547-2204",
            "fax_number": "509-542-8836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 W COURT ST",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "99301",
            "telephone_number": "509-547-2204",
            "fax_number": "509-542-8836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-CITIES COMMUNITY HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-14",
        "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": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7590003",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHC La Clinica - Health Maint. Org",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "CHC La Clinica - Health Maint. Org",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pasco, WA

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.