TRI-STATE MEDICAL GROUP INC
NPI 1992784300
Clinic/Center - Federally Qualified Health Center (FQHC) in Hamilton, IL

Active since January 13, 2006
951 BROADWAY ST, HAMILTON, IL 62341(217) 847-2112(319) 753-2301 Get Directions Write a Review

NPPES record last updated: January 25, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tri-state Medical Group Inc NPPES

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

TRI-STATE MEDICAL GROUP INC (NPI 1992784300) is a healthcare organization registered as a federally qualified health center (fqhc) in Hamilton, Illinois and active in the NPI registry since January 2006. The organization lists Antonio Flores, Ceo, as its authorized official.

NPPES Registry Identity

NPI1992784300
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCOMMUNITY HEALTH CENTERS OF SOUTHEASTERN IOWA INC
Location Address951 BROADWAY STHamilton, IL 62341-1436
Mailing Address1706 West Agency RoadWest Burlington, IA 52655 · (319) 768-5858 · Fax (319) 753-2301
Fax(319) 753-2301
Organization SubpartNo
Authorized OfficialAntonio FloresCeo · (319) 768-5858
Enumeration DateJanuary 13, 2006
Last NPPES UpdateJanuary 25, 2023
NPPES CertifiedJanuary 25, 2023
NPI 1992784300 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 ListedFamily MedicineTaxonomy 207Q00000X
951 BROADWAY ST, Hamilton, IL 62341

Other Names 1

Doing Business AsTri-state Medical Group Inc

Other Identifiers 3

Medicaid506089416MO
Medicaid0563890IA
Other3422957IL · Blue Cross Blue Shield

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

Other Providers at the Same Location NPPES

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

Clinic/Center (Rural Health)
951 BROADWAY ST
HAMILTON, IL 62341

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 Community Health Centers Of Southeastern Iowa Inc's NPI number?

The NPI number for Community Health Centers Of Southeastern Iowa Inc is 1992784300. It was assigned to this organization in the NPPES registry on January 13, 2006. The provider is doing business as Tri-State Medical Group Inc.

Where is Community Health Centers Of Southeastern Iowa Inc located?

Community Health Centers Of Southeastern Iowa Inc is located at 951 Broadway St, Hamilton, IL 62341. The listed phone number is (217) 847-2112.

What is Community Health Centers Of Southeastern Iowa Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

What insurance does Community Health Centers Of Southeastern Iowa Inc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 1 other insurer list Community Health Centers Of Southeastern Iowa Inc 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 Community Health Centers Of Southeastern Iowa Inc was last updated on January 25, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.