TRI STATE COMMUNITY CLINIC, LLC
NPI 1104317346
Family Medicine in Evansville, IN

Q: What is Tri State Community Clinic, LLC's NPI number?

The NPI number for Tri State Community Clinic, LLC is 1104317346. It was assigned to this organization in the NPPES registry on May 23, 2018.

Q: What is Tri State Community Clinic, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since May 23, 2018

1033 E MT. PLEASANT RD., STE. D., EVANSVILLE, IN 47725(888) 492-8722(812) 491-0333 Get Directions Write a Review

NPPES record last updated: May 23, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Tri State Community Clinic, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRI STATE COMMUNITY CLINIC, LLC (NPI 1104317346) is a healthcare organization registered as a family medicine in Evansville, Indiana and active in the NPI registry since May 2018. The organization lists Ronald Chad Perkins, Cmo, as its authorized official.

NPPES Registry Identity

NPI1104317346

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameTRI STATE COMMUNITY CLINIC, LLC

Location Address1033 E MT. PLEASANT RD., STE. D.Evansville, IN 47725

Mailing Address1033 E Mt. Pleasant Rd., Ste. DEvansville, IN 47725 · (888) 492-8722 · Fax (812) 491-0333

Phone(888) 492-8722

Fax(812) 491-0333

Organization SubpartNo

Authorized OfficialRonald Chad PerkinsCmo · (888) 492-8722

Enumeration DateMay 23, 2018

✔ NPI 1104317346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1033 E MT. PLEASANT RD., STE. D., Evansville, IN 47725

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tri State Community Clinic, LLC's NPI number?

The NPI number for Tri State Community Clinic, LLC is 1104317346. It was assigned to this organization in the NPPES registry on May 23, 2018.

Where is Tri State Community Clinic, LLC located?

Tri State Community Clinic, LLC is located at 1033 E Mt. Pleasant Rd., Ste. D., Evansville, IN 47725. The listed phone number is (888) 492-8722.

What is Tri State Community Clinic, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Tri State Community Clinic, LLC was last updated on May 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.