Tri-State Community Clinic

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

TRI-STATE COMMUNITY CLINIC

Practice address

1226 Linn St Ste G
Sikeston, MO 63801-5202

Phone

(573) 391-8030

Fax

(573) 391-8050

NPI assigned

Oct 19, 2026

Last updated

Oct 19, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Matthew Williams

Title

Owner

Phone

(573) 391-8030

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1792368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792368000000",
    "number": "1306742010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1226 LINN ST STE G",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638015202",
            "telephone_number": "573-391-8030",
            "fax_number": "573-391-8050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1226 LINN ST STE G",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638015202",
            "telephone_number": "573-391-8030",
            "fax_number": "573-391-8050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-STATE COMMUNITY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-19",
        "last_updated": "2026-10-19",
        "certification_date": "2026-10-19",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-391-8030"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily N Toothman, OTR/L
• Total Renal Care Inc (Sikeston Jaycee Regional Dialysis)
• Amber Dawn Towe, PMHNP
• Brittney Nicole Trankler, MA CCC-SLP
• Tri-County Community Clinic, LLC
• Mark L Trulsson, DDS
• Thomas M Tullis, R.PH.
• Julie Elizabeth Twidwell, PHD, PMHNP
• Lou Oliver Underwood, RD LD
• Unity Transitional Care of TX PLLC

• Psychiatry Physician in Sikeston, MO
• Providers in Sikeston, MO by specialty
• Psychiatry Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2026; 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.