TRI-STATE COMMUNITY HEALTH CENTER, INC
NPI 1366491201
Clinic/Center - Federally Qualified Health Center (FQHC) in Hancock, MD

Q: What is Tri-State Community Health Center, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Active since May 09, 2006CLIA 21D0220865 · Microscopy

130 W HIGH ST, HANCOCK, MD 21750(301) 678-5187(301) 678-5797 Get Directions Write a Review

NPPES record last updated: August 3, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Tri-state Community Health Center, Inc NPPES

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

TRI-STATE COMMUNITY HEALTH CENTER, INC (NPI 1366491201) is a healthcare organization registered as a federally qualified health center (fqhc) in Hancock, Maryland and active in the NPI registry since May 2006. The organization holds a CLIA Microscopy certificate valid through August 31, 2026 and lists Sheila J Deshong, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1366491201

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameTRI-STATE COMMUNITY HEALTH CENTER, INC

Location Address130 W HIGH STHancock, MD 21750-1143

Mailing Address109 Rayloc DrHancock, MD 21750-1518 · (301) 678-5187 · Fax (301) 678-5797

Phone(301) 678-5187

Fax(301) 678-5797

Organization SubpartNo

Authorized OfficialSheila J DeshongExecutive Director · (301) 678-7256

Enumeration DateMay 9, 2006

Last NPPES UpdateAugust 3, 2010

✔ NPI 1366491201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

130 W HIGH ST, Hancock, MD 21750

Open in Google Maps ↗

Other Identifiers 6

Medicaid0035061000WV

Medicare ID-Type UnspecifiedS865MD

Medicaid1723320/01PA

Medicaid482501200MD

Medicare PINS865MD

Medicare ID-Type Unspecified211809Fqhc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Highmark Blue Cross Blue Shield West Virginia.Insurance ›

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 for Provider-Performed Microscopy Procedures (PPMP) 21D0220865

Tri-State Community Health Center · Hancock, MD

Active · expires Aug 31, 2026

CLIA Number21D0220865

Laboratory TypeCommunity Clinic

Certificate Effective DateSeptember 1, 2024

Certificate Expiration DateAugust 31, 2026

Laboratory DirectorDr. Raymond Banfer

Laboratory Phone(301) 678-7256

Laboratory LocationTri-State Community Health Center130 West High Street, Hancock, MD 21750

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEREDITH MINTO WILLIAMS MD

Pediatrics

130 W HIGH ST
HANCOCK, MD 21750

Washington County (301) 678-7256

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, Inc's NPI number?

The NPI number for Tri-State Community Health Center, Inc is 1366491201. It was assigned to this organization in the NPPES registry on May 9, 2006.

Where is Tri-State Community Health Center, Inc located?

Tri-State Community Health Center, Inc is located at 130 W High St, Hancock, MD 21750. The listed phone number is (301) 678-5187.

What is Tri-State Community Health Center, Inc'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 Health Center, Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 21D0220865) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Tri-State Community Health Center, Inc accept?

Health plans from Highmark Blue Cross Blue Shield West Virginia list Tri-State Community Health Center, Inc 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, Inc was last updated on August 3, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.