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CHC28975-00 TRI-STATE COMMUNITY HEALTH CENTER (Active)
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Main Details
Name
TRI-STATE COMMUNITY HEALTH CENTER
Subdivision Name
Tri State Community Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-015617
340B ID
CHC28975-00
Grant Number
H80CS28975
Additional Details
Current Program Status
Active
Registration Date
4/8/2016
Participating Start Date
7/1/2016
Participating Approval Date
4/13/2016
Last Recertification Date
2/17/2025
Contacts
Authorizing Official
Tri-State Community Health Center
Albert Richardson, Chief Executive Officer
(901) 360-0442
Primary Contact
Tri State Community Health Center
Mengistie Fentie, Chief Financial Officer
(901) 360-0442
Addresses
Street Address
4041 KNIGHT ARNOLD RD
MEMPHIS, TN 38118-2128
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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