TRI-STATE COMMUNITY HEALTH CENTER, INC
NPI 1932159464
Clinic/Center - Federally Qualified Health Center (FQHC) in Mcconnellsburg, PA
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 1932159464) is a healthcare organization registered as a federally qualified health center (fqhc) in Mcconnellsburg, Pennsylvania and active in the NPI registry since May 2006. The organization holds a CLIA Microscopy certificate valid through March 13, 2028 and lists Sheila J Deshong, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation 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).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Tri-State Community Health Center, Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (4)
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) 39D1051840
Tri-State Community Health Ctr · Mcconnellsburg, PAFrequently 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 1932159464. It was assigned to this organization in the NPPES registry on May 12, 2006.
Where is Tri-State Community Health Center, Inc located?
Tri-State Community Health Center, Inc is located at 525 Fulton Drive, Mcconnellsburg, PA 17233. The listed phone number is (717) 485-3850.
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.
When is Tri-State Community Health Center, Inc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Pennsylvania, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Tri-State Community Health Center, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 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 (3) and Family Practice (1). Of these, 2 practice at this address. 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 39D1051840) is associated with this NPI, valid through March 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Tri-State Community Health Center, Inc was last updated on October 12, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 1932159464
Federally Qualified Health Center (FQHC) organization in Mcconnellsburg, Pennsylvania. Organization record, active in the CMS NPPES registry since May 12, 2006.
## Identity
- **NPI:** 1932159464 (Entity type: Organization)
- **Enumerated:** May 12, 2006
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Organization subpart:** No
- **Authorized official:** Sheila Deshong, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 525 FULTON DRIVE, Mcconnellsburg, PA 17233-1143
- **Phone:** (717) 485-3850 · **Fax:** (717) 485-3725
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Pennsylvania, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Family Practice (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 12, 2007
- **Other identifiers:** Medicare OSCAR/certification 391960
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1932159464) · Data from the CMS NPPES public registry.