Tri-Cities Community Health

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

TRI-CITIES COMMUNITY HEALTH

Doing business as

Tri-Cities Community Health - Auburn

Practice address

721 S Auburn St
Kennewick, WA 99336

Phone

(509) 547-2204

NPI assigned

Feb 27, 2017

Last updated

Jan 11, 2024By 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

Kristy Needham

Title

Ceo

Phone

(509) 547-2204

Specialties & licenses 1

Addresses

Other names 1

• Tri-Cities Community Health - Auburn Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1619417516. Details of each certification follow.

• CCN 941025 Federally qualified health center · Active · Details

Federally qualified health center certification: CCN 941025

Legal name

TRI-CITIES COMMUNITY HEALTH

Doing business as

TRI-CITIES COMMUNITY HEALTH - AUBURN

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Mar 21, 2017

Last certification

Mar 21, 2017

Ownership / control type

For profit – corporation

Organization structure

OtherNon-profit

Incorporated

Dec 9, 2016 in WA

Enrollment address

721 S Auburn St
Kennewick, WA 99336-5665

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

  O20170330000952

  Same enrollment

All disclosed owners & managing parties 5

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

Practitioners 6

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.

• Dustin James Carlson, DNP, ARNP, FNP-BC

  • Family Nurse Practitioner
  • Kennewick, WA
  • NPI 1194447334
  NPD (past)
• Jennifer Follwell, DO

  • Family Medicine Physician
  • Kennewick, WA
  • NPI 1093785982
  NPD (past)
• Maria Revina Ochoa Ignacio Vitug, MD

  • Internal Medicine Physician
  • Kennewick, WA
  • NPI 1417938556
  NPD (past)
• Audrey Paige Oleson, PHARMD

  • Pharmacist
  • Pasco, WA
  • NPI 1669172359
  NPD (past)
• Katherine Salness

  • Pharmacy
  • Hillsboro, OR
  • NPI 1760027650
  NPD (past)
• Haolinh Yip, NP

  • Nurse Practitioner
  • Wildomar, CA
  • NPI 1063135929
  NPD (past)

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

{
    "created_epoch": "1488153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1619417516",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 S AUBURN ST",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "99336",
            "telephone_number": "509-547-2204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-CITIES COMMUNITY HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-27",
        "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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tri-Cities Community Health - Auburn",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tri-Cities Community Health - Auburn",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tri City Ear Nose & Throat PS
• Tri City Orthopaedic Clinic, P S C
• Tri City Radiology Inc PS
• Tri-Cities Community Health
• Tri-Cities Community Health
• Tri-Cities Community Health (TCCH Pharmacy-East Kennewick)
• Tri-Cities Community Health
• Tri-Cities Community Health (Tri-Cities Community Health Behavioral Medicine)
• Tri-Cities Community Health
• Tri-Cities Digestive Health Center, PS

• Federally Qualified Health Center (FQHC) in Kennewick, WA
• Providers in Kennewick, 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.