TRI-STATE COMMUNITY HEALTHCARE CENTER
NPI 1780292839
Clinic/Center - Federally Qualified Health Center (FQHC) in Adelanto, CA

Active since July 15, 2020
11328 BARTLETT AVE STE 3, ADELANTO, CA 92301(760) 237-8848(760) 237-8847 Get Directions Write a Review

NPPES record last updated: April 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 30, 2021, Oct 15, 2020, Jul 15, 2020 (3 updates tracked since 2020).

About Tri-state Community Healthcare Center NPPES

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

TRI-STATE COMMUNITY HEALTHCARE CENTER (NPI 1780292839) is a healthcare organization registered as a federally qualified health center (fqhc) in Adelanto, California and active in the NPI registry since July 2020. The organization lists Crystale Mineros, Managed Care Director, as its authorized official.

NPPES Registry Identity

NPI1780292839
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameTRI-STATE COMMUNITY HEALTHCARE CENTER
Location Address11328 BARTLETT AVE STE 3Adelanto, CA 92301-1913
Mailing Address11328 Bartlett Ave Ste 3Adelanto, CA 92301-1913 · (760) 530-9944
Fax(760) 237-8847
Organization SubpartYes
Authorized OfficialCrystale MinerosManaged Care Director · (323) 297-0884
Enumeration DateJuly 15, 2020
Last NPPES UpdateApril 30, 20213 updates tracked since enumeration
NPPES CertifiedApril 30, 2021
NPI 1780292839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedClinic/Center · DentalTaxonomy 261QD0000X
11328 BARTLETT AVE STE 3, Adelanto, CA 92301

Other Providers at the Same Location NPPES

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

Dentist
11328 BARTLETT AVE STE 3
ADELANTO, CA 92301

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 1780292839. It was assigned to this organization in the NPPES registry on July 15, 2020.

Where is Tri-State Community Healthcare Center located?

Tri-State Community Healthcare Center is located at 11328 Bartlett Ave Ste 3, Adelanto, CA 92301. The listed phone number is (760) 237-8848.

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.

When was this NPI record last updated?

The NPPES record for Tri-State Community Healthcare Center was last updated on April 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.