TRI-STATE COMMUNITY HEALTH CENTER, INC
NPI 1083055081
Clinic/Center - Federally Qualified Health Center (FQHC) in Berkeley Springs, WV
NPI Status: Active since July 08, 2013
Contact Information
261 BERKMORE PL
SUITE 1A
BERKELEY SPRINGS, WV
ZIP 25411
Phone: (304) 258-5790
Fax: (304) 258-3745
- Organization
- Clinic/Center
- Federally Qualified Health Center (FQHC)
- Accepts Insurance
- CLIA Number: 51D2062942
- CLIA Cert. Type: Federally Qualified Health Center
- CLIA Exp. Date: 07-18-2026
About TRI-STATE COMMUNITY HEALTH CENTER, INC
This page provides the complete NPI Profile along with additional information for Tri-state Community Health Center, Inc, a primary care provider established in Berkeley Springs, West Virginia operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1083055081 assigned on July 2013. The practitioner's primary taxonomy code is 261QF0400X with license number 2291-3644 (WV). The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Ms. Sheila J Deshong (Coo)
- NPI
- 1083055081
- Provider Name
- TRI-STATE COMMUNITY HEALTH CENTER, INC
- Entity Type
- Organization
- Location Address
- 261 BERKMORE PL SUITE 1A BERKELEY SPRINGS, WV 25411
- Location Phone
- (304) 258-5790
- Location Fax
- (304) 258-3745
- Mailing Address
- 109 RAYLOC DR HANCOCK, MD 21750
- Mailing Phone
- (301) 678-5187
- Mailing Fax
- (304) 258-3745
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-08-2013
- Last Update Date
- 02-21-2014
- Code Navigator
A primary care provider (PCP) like Tri-state Community Health Center, Inc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Federally Qualified Health Center (FQHC)
- Taxonomy Code
- 261QF0400X
- Type
- Ambulatory Health Care Facilities
- License No.
- 2291-3644
- License State
- WV
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- my Blue Access WV Major Events PPO Catastrophic 9200 - 3 Free PCP Visits - PPO
- my Blue Access WV PPO Bronze 3800 - PPO
- my Blue Access WV PPO Bronze 3800 + Adult Dental and Vision - PPO
- my Blue Access WV PPO Bronze 7400 HSA - Custom Drug Benefit - PPO
- my Blue Access WV PPO Bronze 8900 - PPO
- my Blue Access WV PPO Gold 0 - PPO
- my Blue Access WV PPO Gold 0 + Adult Dental and Vision - PPO
- my Blue Access WV PPO Gold 1700 HSA - PPO
- my Blue Access WV PPO Premier Gold 0 - PPO
- my Blue Access WV PPO Premier Gold 0 + Adult Dental and Vision - PPO
- my Blue Access WV PPO Silver 7000 - PPO
- my Blue Access WV PPO Standard Bronze 7500 - PPO
- my Blue Access WV PPO Standard Gold 1500 - PPO
- my Blue Access WV PPO Standard Silver 5000 - PPO
- my Blue Access WV PPO Standard Silver 5000 + Adult Dental and Vision - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 511021 | OTHER (01) | FQHC |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 51D2062942
- Facility Type
- Federally Qualified Health Center
- Certificate Effective Date
- July 19, 2024
- Certificate Expiration Date
- July 18, 2026
- Laboratory Director
- DR. EDWARD P. QUARANTILLO
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Tri-state Community Health Center, Inc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 8 | 3 | 0 | 5 | 5 | 0 | 8 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 16 | 3 | 0 | 5 | 10 | 0 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 6 + 3 + 0 + 5 + 1 + 0 + 0 + 1 + 6 + 24 = 49 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 49 = 1 | 1 | ||||||||
The NPI number 1083055081 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 8 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1326045576 | KENNETH R REED R.PH. Individual | Pharmacist | 261 BERKMORE PL SUITE 1C BERKELEY SPRINGS, WV 25411 (304) 258-3800 |
| 1235136482 | TALLY R REED R.PH. Individual | Pharmacist | 261 BERKMORE PL SUITE 1C BERKELEY SPRINGS, WV 25411 (304) 258-3800 |
| 1346228293 | TAMMY WALKER DAVISON RPH Individual | Pharmacist | 261 BERKMORE PL SUITE 1C BERKELEY SPRINGS, WV 25411 (304) 258-3800 |
| 1770857542 | DAVID JAMES BOWERS CRNP Individual | Nurse Practitioner (Family) | 261 BERKMORE PL SUITE 1A BERKELEY SPRINGS, WV 25411 (304) 258-5790 |
| 1598039364 | MRS. SARITA ELAINE BOWERS FNP-BC Individual | Nurse Practitioner (Family) | 261 BERKMORE PL SUITE 1A BERKELEY SPRINGS, WV 25411 (304) 258-5790 |
| 1609958487 | REEDS PHARMACY LLC Organization | Pharmacy (Community/Retail Pharmacy) | 261 BERKMORE PL STE 1C BERKELEY SPRINGS, WV 25411 (304) 258-3800 |
| 1437271707 | GRAVES MEDICAL PRACTICE INC Organization | Family Medicine | 261 BERKMORE PL SUITE 1A BERKELEY SPRINGS, WV 25411 (304) 258-6327 |
| 1336845825 | DR. KRISTI NICOLE ASHTON FNP-C Individual | Nurse Practitioner (Family) | 261 BERKMORE PL BERKELEY SPRINGS, WV 25411 (304) 258-5790 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083055081, enumerated in the NPI registry as an "organization" on July 08, 2013
The provider is located at 261 Berkmore Pl Suite 1a Berkeley Springs, Wv 25411 and the phone number is (304) 258-5790
This medical organization specializes in Clinic/Center with taxonomy code 261QF0400X with a focus in Federally Qualified Health Center (FQHC)
The provider might be accepting Accepts: Highmark Blue Cross Blue Shield West Virginia,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 51D2062942 for a "federally qualified health center" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on July 08, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.