1. Home
  2. Directory
  3. Maryland
  4. Cumberland
  5. Nurse Practitioner
  6. NPI Profile

TRI-STATE COMMUNITY HEALTH CENTER, INC
NPI 1659709277
Nurse Practitioner - Family in Cumberland, MD

Active since October 16, 2013
621 KELLY RD, CUMBERLAND, MD 21502(301) 722-3270(301) 678-3276 Get Directions Write a Review

NPPES record last updated: October 16, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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 1659709277) is a healthcare organization registered as a family in Cumberland, Maryland and active in the NPI registry since October 2013. The organization lists Satricia A Woodal, Hr Manager, as its authorized official.

NPPES Registry Identity

NPI1659709277
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameTRI-STATE COMMUNITY HEALTH CENTER, INC
Location Address621 KELLY RDCumberland, MD 21502-2878
Mailing Address109 Rayloc DrHancock, MD 21750-1518 · (301) 678-5187 · Fax (301) 678-5797
Phone(301) 722-3270
Fax(301) 678-3276
Organization SubpartNo
Authorized OfficialSatricia A WoodalHr Manager · (301) 678-5187
Enumeration DateOctober 16, 2013
✔ NPI 1659709277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MD · R200178
621 KELLY RD, Cumberland, MD 21502
Open in Google Maps ↗

Other Identifiers 1

Other211828MD · Medicare Fqhc

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

Other Providers at the Same Location NPPES 8

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

DR. RAYMOND E BANFER MD
Family Medicine
621 KELLY RD
CUMBERLAND, MD 21502
Allegany County (301) 722-3270
MRS. TERRY ELLEN HARVEY CRNP
Nurse Practitioner (Family)
621 KELLY RD
CUMBERLAND, MD 21502
Allegany County (301) 722-3270
DR. MICHELE KENNEDY DO
Family Medicine
621 KELLY RD
CUMBERLAND, MD 21502
Allegany County (301) 722-3270
TRI-STATE COMMUNITY HEALTH CENTER, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
621 KELLY RD
CUMBERLAND, MD 21502
Allegany County (301) 722-3270
MRS. JANELL SIOMA CRNP
Nurse Practitioner (Family)
621 KELLY RD
CUMBERLAND, MD 21502
Allegany County (301) 722-3270
DR. DANIEL CHRIS AUKERMAN M.D.
General Practice
621 KELLY RD
CUMBERLAND, MD 21502
Allegany County (301) 722-3270
DR. SHARMILA MATIPPA M.D.
Family Medicine
621 KELLY RD
CUMBERLAND, MD 21502
Allegany County (301) 723-3940
STEPHANIE IMLER CRNP
Nurse Practitioner (Family)
621 KELLY RD
CUMBERLAND, MD 21502
Allegany County (301) 722-3270

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 1659709277. It was assigned to this organization in the NPPES registry on October 16, 2013.

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

Tri-State Community Health Center, Inc is located at 621 Kelly Rd, Cumberland, MD 21502. The listed phone number is (301) 722-3270.

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

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Tri-State Community Health Center, Inc was last updated on October 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.