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CHC28370-00 TRI-STATE COMMUNITY HEALTHCARE CENTER (Active)
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Main Details
Name
TRI-STATE COMMUNITY HEALTHCARE CENTER
Subdivision Name
Tri-State Community Healthcare Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-015134
340B ID
CHC28370-00
Grant Number
H80CS28370
Additional Details
Current Program Status
Active
Registration Date
4/6/2017
Participating Start Date
7/1/2017
Participating Approval Date
4/7/2017
Last Recertification Date
2/17/2025
Contacts
Authorizing Official
Tri-State Community Healthcare Center
Aram Manoukian, CEO
(760) 326-0222 Ext: 8186584000
Primary Contact
Tri-State Community Healthcare Center
MARIA A SOTNIKOVA, COO
(818) 658-4000
Addresses
Street Address
1402 BAILEY AVE
NEEDLES, CA 92363-3104
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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