TRI STATE MEDICAL CLINICS
NPI 1932405693
Family Medicine in Clarkston, WA

Active since January 28, 2011
1221 HIGHLAND AVE, CLARKSTON, WA 99403(509) 758-5511(509) 751-9406 Get Directions Write a Review

NPPES record last updated: March 31, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Tri State Medical Clinics NPPES

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

TRI STATE MEDICAL CLINICS (NPI 1932405693) is a healthcare organization registered as a family medicine in Clarkston, Washington and active in the NPI registry since January 2011. The organization lists Alex Town, Cfo, as its authorized official.

NPPES Registry Identity

NPI1932405693
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTRI-STATE MEMORIAL HOSPITAL
Location Address1221 HIGHLAND AVEClarkston, WA 99403-2829
Mailing AddressPo Box 189Clarkston, WA 99403-0189 · (509) 758-5511 · Fax (509) 751-9406
Fax(509) 751-9406
Organization SubpartYesParent: Tri State Memorial Hospital
Authorized OfficialAlex TownCfo · (509) 758-4667
Enumeration DateJanuary 28, 2011
Last NPPES UpdateMarch 31, 2011
✔ NPI 1932405693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X
1221 HIGHLAND AVE, Clarkston, WA 99403

Other Names 1

Doing Business AsTri State Medical Clinics

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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

Clinicians Billing Medicare Through This Organization

160

Medicare enrollment records show 160 clinicians reassign Medicare billing to Tri State Medical Clinics, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 45 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 26

Nurse Practitioner21
Certified Registered Nurse Anesthetist (CRNA)20
Psychiatry17
Emergency Medicine13
Cardiovascular Disease (Cardiology)11
Pulmonary Disease10
Diagnostic Radiology9
Internal Medicine8
18 other specialties51

Nearest to this location (20)

See all 160
Nurse Practitioner
NPI 1952560328
1221 HIGHLAND AVE
Clarkston, WA 99403
(509) 758-5511
✔ PECOSSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1447598214
1221 HIGHLAND AVE
Clarkston, WA 99403
(509) 758-5511
✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1093584732
1221 HIGHLAND AVE
Clarkston, WA 99403
(253) 867-7777
✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1629747829
1221 HIGHLAND AVE
Clarkston, WA 99403
(509) 769-2201
✔ PECOSSame address
Nurse Practitioner
NPI 1740994268
1119 HIGHLAND AVE
Clarkston, WA 99403
(509) 769-2269
✔ PECOS0.1 mi
Nurse Practitioner
NPI 1295840270
1119 HIGHLAND AVE STE 7
Clarkston, WA 99403
(509) 758-1119
✔ PECOS✔ Accepts Medicare0.1 mi
Certified Nurse Midwife (CNM)
NPI 1003110321
1119 HIGHLAND AVE STE 2
Clarkston, WA 99403
(509) 769-2252
✔ PECOS0.1 mi
Podiatry
NPI 1861832818
1119 HIGHLAND AVE STE 7
Clarkston, WA 99403
(509) 758-1119
✔ PECOS✔ Accepts Medicare0.1 mi
Certified Nurse Midwife (CNM)
NPI 1841975687
1119 HIGHLAND AVE STE 2
Clarkston, WA 99403
(509) 769-2252
✔ PECOS✔ Accepts Medicare0.1 mi
Nephrology
NPI 1679504559
1119 HIGHLAND AVE
Clarkston, WA 99403
(509) 758-5511
✔ PECOS0.1 mi
Obstetrics/Gynecology
NPI 1225067069
1119 HIGHLAND AVE
Clarkston, WA 99403
(509) 769-2269
✔ PECOS0.1 mi
Orthopedic Surgery
NPI 1104856087
1207 EVERGREEN CT
Clarkston, WA 99403
(509) 769-2255
✔ PECOS✔ Accepts Medicare0.1 mi
Urology
NPI 1366407942
1119 HIGHLAND AVE
Clarkston, WA 99403
(509) 758-5511
✔ PECOS✔ Accepts Medicare0.1 mi
Pain Management
NPI 1912917618
1119 HIGHLAND AVE STE 11
Clarkston, WA 99403
(509) 780-4450
✔ PECOS0.1 mi
Family Practice
NPI 1992152326
1119 HIGHLAND AVE
Clarkston, WA 99403
(509) 758-1450
✔ PECOS0.1 mi
Family Practice
NPI 1598393902
1119 HIGHLAND AVE
Clarkston, WA 99403
(509) 758-4450
✔ PECOS0.1 mi
General Surgery
NPI 1063941672
1119 HIGHLAND AVE STE 4
Clarkston, WA 99403
(509) 254-2722
✔ PECOS0.1 mi
Podiatry
NPI 1154662948
1119 HIGHLAND AVE STE 7
Clarkston, WA 99403
(509) 758-1119
✔ PECOS✔ Accepts Medicare0.1 mi
Obstetrics/Gynecology
NPI 1730744988
1119 HIGHLAND AVE STE 2
Clarkston, WA 99403
(509) 769-2252
✔ PECOS✔ Accepts Medicare0.1 mi
Pulmonary Disease
NPI 1821193582
1271 HIGHLAND AVE STE B
Clarkston, WA 99403
(509) 769-2201
✔ PECOS✔ Accepts Medicare0.1 mi
See all 160 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Memorial Hospital's NPI number?

The NPI number for Tri-State Memorial Hospital is 1932405693. It was assigned to this organization in the NPPES registry on January 28, 2011. The provider is doing business as Tri State Medical Clinics.

Where is Tri-State Memorial Hospital located?

Tri-State Memorial Hospital is located at 1221 Highland Ave, Clarkston, WA 99403. The listed phone number is (509) 758-5511.

What is Tri-State Memorial Hospital's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Tri-State Memorial Hospital enrolled in Medicare?

Yes. Tri-State Memorial Hospital is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tri-State Memorial Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 160 clinicians in 26 Medicare specialties reassign their Medicare billing to Tri-State Memorial Hospital. 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 (21), Certified Registered Nurse Anesthetist (CRNA) (20) and Psychiatry (17). Of these, 4 practice at this address and 45 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Tri-State Memorial Hospital accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Tri-State Memorial Hospital 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 Memorial Hospital was last updated on March 31, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.