NPIMap

Organization Active NPI

Tri-Cities Community Health

  • Federally Qualified Health Center (FQHC)
  • Pasco, WA
National Provider Identifier
1861896631
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
TRI-CITIES COMMUNITY HEALTH
Practice address
1801 E Sheppard St
Pasco, WA 99301
Phone
(509) 547-2204
NPI assigned
Oct 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

1801 E Sheppard St
Pasco, WA 99301

Mailing address

PO Box 1452
Pasco, WA 99301-1452
Phone (509) 547-2204

Other names 1

  • Ochoa School Based Clinic Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191226000748 WA Part A Provider - Federally Qualified Health Center (FQHC) 4183517469 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Pasco, WA

Federally qualified health center certification: CCN 941062

Legal name
TRI-CITIES COMMUNITY HEALTH
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Dec 17, 2019
Last certification
Dec 17, 2019
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
May 20, 1981 in WA
Enrollment address
1801 E Sheppard St
Pasco, WA 99301-3567

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Amanda L Lang Individual W-2 Managing EmployeeAssociate Medical Director Oct 1, 2018
Kristy Needham Individual Corporate OfficerChief Operating Officer Feb 1, 2022
James M Merrill Individual Corporate OfficerChief Executive Officer May 20, 2019
Alexandria Glasenapp Individual Corporate DirectorBilling Manager Mar 1, 2022
Ana M Ruiz Peralta Individual Corporate OfficerBoard Chair Nov 29, 2018
Kristine Taggares Individual Corporate OfficerBoard Sergeant of Arms Sep 1, 2019
Jeanne S McPherson Individual Corporate OfficerBoard Vice Chair Sep 1, 2018

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1413936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1861896631",
    "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": "993011452",
            "telephone_number": "509-547-2204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 E SHEPPARD ST",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "99301",
            "telephone_number": "509-547-2204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-CITIES COMMUNITY HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-22",
        "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": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ochoa School Based Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pasco, WA

Sources for this page

Verify at the official NPI Registry.