Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tri State Medical Clinic Inc

Organization Rural Health Clinic/Center · NPI 1649370719

Tri State Medical Clinic Inc is a Rural Health Clinic/Center in Middlesboro, Kentucky. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3503 Cumberland Ave
Middlesboro, KY 40965-2611
Phone: (606) 242-3100
Fax: (606) 242-3984
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rural Health Clinic/Center (primary) Taxonomy 261QR1300X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1649370719
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Larry Roark — Nurse Practitioner/Owner · (606) 242-3100
Other names Tri-State Family Healthcare
NPI enumeratedSeptember 25, 2006
Last updated in NPPESJanuary 31, 2020
Certification dateJanuary 31, 2020
Mailing addressPo Box 217, Middlesboro, KY 40965-0217

Other providers in Middlesboro