TRI-STATE COMMUNITY HEALTHCARE CENTER
NPI 1841703253
Clinic/Center - Federally Qualified Health Center (FQHC) in Mohave Valley, AZ

Active since November 07, 2017CLIA 03D2169568 · Waiver
8700 S HIGHWAY 95, MOHAVE VALLEY, AZ 86440(928) 768-7113 Get Directions Write a Review

NPPES record last updated: November 7, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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 1841703253) is a healthcare organization registered as a federally qualified health center (fqhc) in Mohave Valley, Arizona and active in the NPI registry since November 2017. The organization holds a CLIA Waiver certificate valid through July 22, 2027 and lists Aram Manoukian, Ceo, as its authorized official.

NPPES Registry Identity

NPI1841703253
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameTRI-STATE COMMUNITY HEALTHCARE CENTER
Location Address8700 S HIGHWAY 95Mohave Valley, AZ 86440-8519
Mailing Address8700 S Highway 95Mohave Valley, AZ 86440-8519
Organization SubpartYes
Authorized OfficialAram ManoukianCeo · (760) 326-0222
Enumeration DateNovember 7, 2017
✔ NPI 1841703253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedClinic/Center · Community HealthTaxonomy 261QC1500X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
8700 S HIGHWAY 95, Mohave Valley, AZ 86440

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 Healthcare Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to Tri-State Community Healthcare Center, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Nurse Practitioner6
Clinical Social Worker2
Marriage and Family Therapist2
Family Practice1

Clinicians, nearest first (11)

Nurse Practitioner
NPI 1821674839
8700 S HIGHWAY 95
Mohave Valley, AZ 86440
(928) 768-7113
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1598426330
8700 AZ-95
Mohave Valley, AZ 86440
(928) 768-7113
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1760842512
2500 CANYON RD STE A1
Bullhead City, AZ 86442
(928) 704-4499
✔ PECOS✔ Accepts Medicare13 mi
Nurse Practitioner
NPI 1588390629
1296 MAGNOLIA DR UNIT MANAGER
Carson, CA 90746
(714) 476-8156
✔ PECOS✔ Accepts Medicare221 mi
Family Practice
NPI 1912071556
11273 LAUREL CANYON BLVD STE 2
San Fernando, CA 91340
(818) 853-2220
✔ PECOS✔ Accepts Medicare224 mi
Clinical Social Worker
NPI 1548148380
876 APPLETON RD
Simi Valley, CA 93065
(818) 610-9458
✔ PECOS241 mi
Nurse Practitioner
NPI 1821795626
3295 W INA RD STE 150
Tucson, AZ 85741
(207) 444-3765
✔ PECOS✔ Accepts Medicare271 mi
Marriage and Family Therapist
NPI 1801235692
900 AVENUE O
Ely, NV 89301
(702) 303-4286
✔ PECOS✔ Accepts Medicare300 mi
Clinical Social Worker
NPI 1346425097
2629 MINK RD
Abilene, KS 67410
(785) 342-2105
✔ PECOS1,006 mi
Marriage and Family Therapist
NPI 1104062298
PO BOX 11
Marion, IA 52302
(319) 693-2170
✔ PECOS1,337 mi
Nurse Practitioner
NPI 1508320706
3442 US HWY 431
Albertville, AL 35950
(256) 580-7660
✔ PECOS✔ Accepts Medicare1,616 mi

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 of Waiver 03D2169568

Tri-State Community Healthcare Center · Mohave Valley, AZ
Active · expires Jul 22, 2027
CLIA Number03D2169568
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJuly 23, 2025
Certificate Expiration DateJuly 22, 2027
Laboratory DirectorShahram Seyedali Mirhashemi
Laboratory Phone(928) 768-7113
Laboratory LocationTri-State Community Healthcare Center8700 S Hwy 95, Mohave Valley, AZ 86440
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 1841703253. It was assigned to this organization in the NPPES registry on November 7, 2017.

Where is Tri-State Community Healthcare Center located?

Tri-State Community Healthcare Center is located at 8700 S Highway 95, Mohave Valley, AZ 86440. The listed phone number is (928) 768-7113.

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.

Is Tri-State Community Healthcare Center enrolled in Medicare?

Yes. Tri-State Community Healthcare Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tri-State Community Healthcare Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 4 Medicare specialties reassign their Medicare billing to Tri-State Community Healthcare Center. 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 (6), Clinical Social Worker (2) and Marriage and Family Therapist (2). Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Tri-State Community Healthcare Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2169568) is associated with this NPI, valid through July 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Tri-State Community Healthcare Center accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health and UnitedHealthcare list Tri-State Community Healthcare Center 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 Healthcare Center was last updated on November 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.