TRI STATE COMMUNITY HEALTH CENTER
NPI 1285002634
Clinic/Center - Federally Qualified Health Center (FQHC) in Memphis, TN
About Tri State Community Health Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRI STATE COMMUNITY HEALTH CENTER (NPI 1285002634) is a healthcare organization registered as a federally qualified health center (fqhc) in Memphis, Tennessee and active in the NPI registry since September 2015. The organization maintains a secondary practice location in Memphis and lists Albert L Richardson, Chief Executive Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tri State Community Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
33Medicare enrollment records show 33 clinicians reassign Medicare billing to Tri State Community Health Center, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 24 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 8
Nearest to this location (20)
See all 33Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Health Center's NPI number?
The NPI number for Tri State Community Health Center is 1285002634. It was assigned to this organization in the NPPES registry on September 2, 2015.
Where is Tri State Community Health Center located?
Tri State Community Health Center is located at 4041 Knight Arnold Rd Suite 100, Memphis, TN 38118. The listed phone number is (901) 360-0442.
What is Tri State Community Health Center's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Tri State Community Health Center enrolled in Medicare?
Yes. Tri State Community Health Center is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Tri State Community Health Center?
According to the CMS Revalidation Reassignment List (October 2026 release), 33 clinicians in 8 Medicare specialties reassign their Medicare billing to Tri State Community Health Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (16), Dentist (5) and Obstetrics/Gynecology (4). Of these, 6 practice at this address and 24 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Tri State Community Health Center accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 4 other insurers list Tri State Community Health Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Tri State Community Health Center was last updated on June 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.
# Tri State Community Health Center · NPI 1285002634
Federally Qualified Health Center (FQHC) organization in Memphis, Tennessee. Organization record, active in the CMS NPPES registry since September 2, 2015.
## Identity
- **NPI:** 1285002634 (Entity type: Organization)
- **Enumerated:** September 2, 2015
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Organization subpart:** No
- **Authorized official:** Albert Richardson, CHIEF EXECUTIVE OFFICER
## Practice location
- **Address:** 4041 KNIGHT ARNOLD RD, SUITE 100, Memphis, TN 38118-2128
- **Phone:** (901) 360-0442 · **Fax:** (901) 360-0865
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 33 clinicians in 8 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (16), Dentist (5), Obstetrics/Gynecology (4); 6 practice at this address and 24 within 10 miles; [full list](https://npiprofile.com/npi/1285002634/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 8, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1285002634) · Data from the CMS NPPES public registry.