NPIMap

Organization Active NPI

RCCH Trios Health LLC

  • Internal Medicine Physician
  • Kennewick, WA
National Provider Identifier
1831682806
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
RCCH TRIOS HEALTH LLC
Practice address
3730 Plaza Way
Kennewick, WA 99338
Phone
(509) 221-6450
Fax
(509) 221-6230
NPI assigned
Jun 13, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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

Authorized official

Name
Charlotte Lawrence
Title
Secretary
Phone
(615) 920-7000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

3730 Plaza Way
Kennewick, WA 99338

Mailing address

3730 Plaza Way
Kennewick, WA 99338-2718
Phone (509) 221-6450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, TX, NY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20180830000618 WA Part B Supplier - Clinic/Group Practice 5799035416 Receives reassigned benefits from 162 practitioners
Practice locations: Kennewick, WA; Pasco, WA
O20240904003089 TX Part B Supplier - Clinic/Group Practice 5799035416 Receives reassigned benefits from 1 practitioner
Practice locations: Cypress, TX
O20251016001127 NY Part B Supplier - Clinic/Group Practice 5799035416 Receives reassigned benefits from 1 practitioner
Practice locations: Commack, NY

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

7201 W Grandridge Blvd
Ste 100
Kennewick, WA 99336
Phone (509) 221-6900

320 W 10th Ave
Ste 102
Kennewick, WA 99336
Phone (509) 221-5910

216 W 10th Ave
Ste 202
Kennewick, WA 99336
Phone (509) 221-5510

Practitioners & affiliated clinicians

Practitioners 166

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 166

NPI Registry JSON

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

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675900800000",
    "number": "1831682806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3730 PLAZA WAY",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993382718",
            "telephone_number": "509-221-6450",
            "fax_number": "509-221-6230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3730 PLAZA WAY",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "99338",
            "telephone_number": "509-221-6450",
            "fax_number": "509-221-6230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RCCH TRIOS HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-13",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "615-920-7000"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.