TRI STATE COMMUNITY CLINIC, LLC – NPI #1104317346
Family Medicine

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.

TRI STATE COMMUNITY CLINIC, LLC is a provider located in EVANSVILLE, IN. NPPES has assigned the NPI number 1104317346 to TRI STATE COMMUNITY CLINIC, LLC on May 23, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TRI STATE COMMUNITY CLINIC, LLC below.

NPI Profile for
TRI STATE COMMUNITY CLINIC, LLC

NPI Number
1104317346
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
TRI STATE COMMUNITY CLINIC, LLC
Primary location
1033 E MT. PLEASANT RD., STE. D.
EVANSVILLE, IN 47725
Phone: (888) 492-8722 Fax: (812) 491-0333
Mailing address
1033 E MT. PLEASANT RD., STE. D
EVANSVILLE, IN 47725
Phone: (888) 492-8722 Fax: (812) 491-0333
Organization Subpart
No
Authorized Official
RONALD PERKINS
CMO
Phone: (888) 492-8722
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.