OrganizationActive
Tri-State Memorial Hospital
NPI 1124135215 · Home Health Agency · Clarkston, WA
Provider details
- NPI number
- 1124135215
- Entity type
- Organization
- Primary specialty
- Home Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Alex Town, Cfo(509) 758-4667
- License
- 15457 (WA)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1100 Highland Avenue
Clarkston, WA 99403
Phone: (509) 758-2568
Fax: (509) 758-3413
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 187
Clarkston, WA 99403-0187
Registry dates
- Enumerated
- 2006-08-24
- Last updated
- 2012-05-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.