MOBILE CLINIC
NPI 1336646397
Clinic/Center - Federally Qualified Health Center (FQHC) in Adelanto, CA
About Mobile Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MOBILE CLINIC (NPI 1336646397) is a healthcare organization registered as a federally qualified health center (fqhc) in Adelanto, California and active in the NPI registry since April 2018. The organization holds a CLIA Waiver certificate valid through October 10, 2026, maintains a secondary practice location in Needles, and lists Aram Manoukian, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 05D2195655
Tri-State Community Healthcare Center · Adelanto, CAOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Healthcare Center's NPI number?
The NPI number for Tri-State Community Healthcare Center is 1336646397. It was assigned to this organization in the NPPES registry on April 6, 2018. The provider is also known as Mobile Clinic.
Where is Tri-State Community Healthcare Center located?
Tri-State Community Healthcare Center is located at 11888 Bartlett Ave, Adelanto, CA 92301. The listed phone number is (760) 326-0222.
What is Tri-State Community Healthcare Center's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Does Tri-State Community Healthcare Center hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2195655) is associated with this NPI, valid through October 10, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Tri-State Community Healthcare Center was last updated on April 6, 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.
# Mobile Clinic · NPI 1336646397
Federally Qualified Health Center (FQHC) organization in Adelanto, California. Organization record, active in the CMS NPPES registry since April 6, 2018.
## Identity
- **NPI:** 1336646397 (Entity type: Organization)
- **Enumerated:** April 6, 2018
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Tri-State Community Healthcare Center
- **Organization subpart:** Yes (part of Tri-State Community Healthcare Center)
- **Authorized official:** Aram Manoukian, CEO
## Practice location
- **Address:** 11888 BARTLETT AVE, Adelanto, CA 92301-1709
- **Phone:** (760) 326-0222
## Record status
- **NPPES last updated:** April 6, 2018
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1336646397) · Data from the CMS NPPES public registry.