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

Tri State Community Clinic, LLC

Organization Family Medicine Physician · NPI 1104317346

Tri State Community Clinic, LLC provides Family Medicine Physician services in Evansville, Indiana. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1033 E Mt Pleasant Rd Ste D
Evansville, IN 47725
Phone: (888) 492-8722
Fax: (812) 491-0333
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1104317346
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ronald Perkins — Cmo · (888) 492-8722
NPI enumeratedMay 23, 2018
Last updated in NPPESMay 23, 2018
Mailing address1033 E Mt. Pleasant Rd., Ste. D, Evansville, IN 47725

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