TRI-STATE COMMUNITY HEALTH CENTER, INC
NPI 1366491201
Clinic/Center - Federally Qualified Health Center (FQHC) in Hancock, MD
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, 2028 and lists Sheila J Deshong, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 6
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, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
18Medicare enrollment records show 18 clinicians reassign Medicare billing to Tri-State Community Health Center, Inc, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (18)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, MDFrequently 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.
Is Tri-State Community Health Center, Inc enrolled in Medicare?
Yes. Tri-State Community Health Center, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Tri-State Community Health Center, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 18 clinicians in 4 Medicare specialties reassign their Medicare billing to Tri-State Community Health Center, Inc. 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 (11), Family Practice (3) and Obstetrics/Gynecology (3). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, 2028. 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.
# Tri-State Community Health Center, Inc · NPI 1366491201
Federally Qualified Health Center (FQHC) organization in Hancock, Maryland. Organization record, active in the CMS NPPES registry since May 9, 2006.
## Identity
- **NPI:** 1366491201 (Entity type: Organization)
- **Enumerated:** May 9, 2006
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Organization subpart:** No
- **Authorized official:** Sheila Deshong, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 130 W HIGH ST, Hancock, MD 21750-1143
- **Phone:** (301) 678-5187 · **Fax:** (301) 678-5797
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 18 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (11), Family Practice (3), Obstetrics/Gynecology (3); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 3, 2010
- **Other identifiers:** Medicaid 0035061000 (WV); Medicare ID-Type Unspecified S865 (MD); Medicaid 1723320/01 (PA); and 3 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1366491201) · Data from the CMS NPPES public registry.