Tri-County Community Health Fund

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

TRI-COUNTY COMMUNITY HEALTH FUND

Practice address

282 W Astor Ave
Colville, WA 99114-2418

Phone

(509) 684-7925

Fax

(509) 563-8200

NPI assigned

Jul 23, 2024

Organization subpart

Yes

Parent organization

HOPE STREET PROJECTAs reported in NPPES

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

Authorized official

Name

Dr. Barry J Bacon, MD

Title

President

Phone

(509) 684-7925

Specialties & licenses 1

Addresses

Other names 1

• Bridges of Hope Other name

Part of

Tri-County Community Health Fund

Locations

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

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721692800000",
    "number": "1215765185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 S WYNNE ST",
            "city": "COLVILLE",
            "state": "WA",
            "postal_code": "991142518",
            "telephone_number": "509-684-7925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "282 W ASTOR AVE",
            "city": "COLVILLE",
            "state": "WA",
            "postal_code": "991142418",
            "telephone_number": "509-684-7925",
            "fax_number": "509-563-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-COUNTY COMMUNITY HEALTH FUND",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOPE STREET PROJECT",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A",
        "authorized_official_last_name": "BACON",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-684-7925",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bridges of Hope",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Substance Abuse Rehabilitation Facility in Colville, WA
• Providers in Colville, WA by specialty
• Substance Abuse Rehabilitation Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.