Tri-Cities Community Health

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

License

601043609 Issued in WA

Legal business name

TRI-CITIES COMMUNITY HEALTH

Practice address

915 Goethals Dr
Richland, WA 99352

Phone

(509) 547-2204

Fax

(509) 545-3960

NPI assigned

Dec 14, 2016

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 - Wilson Building Other name

Medicare fee-for-service enrollment

Enrolled in WA2 enrollments

Enrollment records 2

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1750825444. Details of each certification follow.

• CCN 941024 Federally qualified health center · Active · Details

Federally qualified health center certification: CCN 941024

Legal name

TRI-CITIES COMMUNITY HEALTH

Doing business as

TRI-CITIES COMMUNITY HEALTH - WILSON BUILDING

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Apr 25, 2017

Last certification

Apr 25, 2017

Ownership / control type

For profit – corporation

Organization structure

OtherNon-profit

Incorporated

Dec 1, 2016 in WA

Enrollment address

915 Goethals Dr
Richland, WA 99352-3527

Other NPIs on the same Medicare enrollment 5

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 1063619377

  O20040203000209

  Same enrollment
• Tri-Cities Community Health

  • Federally Qualified Health Center (FQHC)
  • Pasco, WA
  • NPI 1225145105

  O20040203000209, O20170331000382

  Same enrollment
• Tri-Cities Community Health

  • Federally Qualified Health Center (FQHC)
  • Richland, WA
  • NPI 1427394568

  O20040203000209

  Same enrollment
• Tri-Cities Community Health

  • Nurse Practitioner
  • Pasco, WA
  • NPI 1528241007

  O20040203000209

  Same enrollment
• Tri-Cities Community Health

  • Federally Qualified Health Center (FQHC)
  • Kennewick, WA
  • NPI 1861698987

  O20040203000209

  Same enrollment

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Tri Cities Community Health

  • Federally Qualified Health Center (FQHC)
  • Pasco, WA
  • NPI 1659995504

  Member Of

  NPD member

Locations

All disclosed owners & managing parties 8

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Amanda L Lang, O.D.

  • Optometrist
  • Ludington, MI
  • NPI 1295705846

  Corporate Director

  CMS ownership

Practitioners 2

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.

• Barbara K Mallory, PAC

  • Medical Physician Assistant
  • Spokane, WA
  • NPI 1285692285
  NPD
• Scott Terry, DO

  • Pediatrics Physician
  • Kennewick, WA
  • NPI 1205253184
  NPD

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

{
    "created_epoch": "1481673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1750825444",
    "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",
            "fax_number": "509-547-9329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 GOETHALS DR",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "99352",
            "telephone_number": "509-547-2204",
            "fax_number": "509-545-3960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-CITIES COMMUNITY HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-14",
        "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": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "WA",
            "license": "601043609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tri-Cities Community Health - Wilson Building",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Tri-Cities Community Health - Wilson Building",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tri-Cities Chaplaincy (The Chaplaincy)
• Tri-Cities Chaplaincy (Tri-Cities Chaplaincy Supportive Care)
• Tri-Cities Community Health
• Tri-Cities Community Health
• Tri-Cities Community Health (TCCH Pharmacy-Richland)
• Tri-Cities Diabetes PLLC
• Tri-Cities Digestive Health Center, P.S.
• Tri-Cities Laboratory LLC
• Tri-Cities Laboratory LLC
• Tri-Cities Marital and Family Therapy

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