Tri City Health Partnership

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

TRI CITY HEALTH PARTNERSHIP

Practice address

318 Walnut St
St Charles, IL 60174-2725

Phone

(630) 377-9277

NPI assigned

Nov 2, 2011

Organization subpart

No

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

Authorized official

Name

Shannon Watson

Title

Executive Director

Phone

(630) 377-9277

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Teresa Buratczuk, APRN, CNP

  • Nurse Practitioner
  • South Elgin, IL
  • NPI 1588170773
  NPD (past)
• Janette Sue Jones, APRN

  • Family Nurse Practitioner
  • St Charles, IL
  • NPI 1831108208
  NPD (past)
• Sarah Titus Kimber, M.D.

  • Family Medicine Physician
  • St Charles, IL
  • NPI 1942441027
  NPD (past)
• Gary Marshall Kohn, MD

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • St Charles, IL
  • NPI 1962038679
  NPD (past)

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

{
    "created_epoch": "1320192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320192000000",
    "number": "1073899118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 WALNUT ST",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601742725",
            "telephone_number": "630-377-9277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 WALNUT ST",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601742725",
            "telephone_number": "630-377-9277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI CITY HEALTH PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-02",
        "last_updated": "2011-11-02",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "630-377-9277"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William R Trahan, D.M.D, M.S.D
• Barbara L Traina, D.D.S.
• Christine Nellie Tredup, MSW, ACSW, LCSW, BCD
• Jordan Trevino
• Tri Cities Open MRI LLC
• Tri-City Ambulance
• Tri-City Neurology SC
• Tricity Family Services
• Megan Trofimuk
• Anne Kathleen Tully

• Community Health Clinic/Center in St Charles, IL
• Providers in St Charles, IL by specialty
• Community Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.