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Tri State Medical Clinic Inc

Rural Health Clinic/Center in Middlesboro, KY · enumerated 2006 · authorized official Larry Roark, Nurse Practitioner/Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1649370719

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Registry record

Entity type Organization (Type 2)
Legal business name Tri State Medical Clinic Inc
Other name <Unavail>
Practice address 3503 Cumberland Ave, Middlesboro, KY, 40965
Phone (606) 242-3100
Fax (606) 242-3984
Enumeration date Sep 25, 2006
Last updated in NPPES Jan 31, 2020

Taxonomy & classification

261QR1300X Rural Health Clinic/Center Ambulatory Health Care Facilities Primary
363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Larry Roark
Title Nurse Practitioner/Owner
Phone (606) 242-3100

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-01-31. Verify at npiregistry.cms.hhs.gov.
Where is Tri State Medical Clinic Inc located?
The practice location on file with NPPES is in Middlesboro, KY.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-01-31.