TC
Medical Clinic
TRI-STATE COMMUNITY HEALTHCARE CENTER- ADELANTO 3
11273 LAUREL CANYON BLVD, SUITE 2, SAN FERNANDO, CA 91340
Source updated 2026-10-16. Source-listed location, not a NursingHomes.io endorsement. Confirm operating status, care availability, and services directly.
Official provider information
- CCN
- 921090
- LTC
- NON-LTC
- NPI
- Not reported
- ZIP
- 91340
- id
- 12562
- CITY
- SAN FERNANDO
- FLAG
- USE PARENT MATCH
- ZIP9
- 4300
- rank
- 0.0706241
- AO CD
- Not reported
- FACID
- 630027314
- DEEMED
- 0
- T18 19
- Not reported
- ADDRESS
- 11273 LAUREL CANYON BLVD, SUITE 2
- AO NAME
- Not reported
- FACNAME
- TRI-STATE COMMUNITY HEALTHCARE CENTER- ADELANTO 3
- FAC FDR
- PRIMARY CARE CLINIC
- HCAI ID
- Not reported
- CAPACITY
- 0
- LATITUDE
- 34.27473402
- LOCATION
- (-118.449768,34.274734019)
- DATA DATE
- 2026-10-16T00:00:00
- ISFACMAIN
- N
- LONGITUDE
- -118.449768
- CCLHO CODE
- 1
- CCLHO NAME
- ALAMEDA
- START DATE
- 05JUN2023
- TRAUMA CTR
- Not reported
- ASPEN FACID
- CA630017962
- COUNTY CODE
- 0
- COUNTY NAME
- ALAMEDA
- TERMINAT SW
- Not reported
- AO TRMNTN DT
- Not reported
- DMG EFCTV DT
- Not reported
- PARENT FACID
- 630017962
- TYPE OF CARE
- Not reported
- APPROVAL DATE
- 2018-10-10T00:00:00
- BUSINESS NAME
- TRI - STATE COMMUNITY HEALTHCARE CENTER
- DISTRICT NAME
- SAN BERNARDINO
- FAC TYPE CODE
- COMTYC
- LICENSE NUMBER
- 550004322
- TRAUMA PED CTR
- Not reported
- DISTRICT NUMBER
- 24
- FIPS COUNTY CODE
- 6001
- LICENSED CERTIFIED
- LICENSED AND CERTIFIED
- PARTICIPATION DATE
- 2018-05-21T00:00:00
- CONTACT PHONE NUMBER
- Not reported
- FAC STATUS TYPE CODE
- OPEN
- INITIAL LICENSE DATE
- 2018-08-09T00:00:00
- BIRTHING FACILITY FLAG
- Not reported
- CAN BE DEEMED FAC TYPE
- N
- LICENSE EFFECTIVE DATE
- 2026-08-09T00:00:00
- ENTITY TYPE DESCRIPTION
- NONPROFIT CORP
- LICENSE EXPIRATION DATE
- 2027-08-08T00:00:00
- CRITICAl ACCESS HOSPITAL
- Not reported
- CAN BE CERTIFIED FAC TYPE
- Y
- LICENSE STATUS DESCRIPTION
- ACTIVE
- FAC FAC RELATIONSHIP TYPE CODE
- INTERMITTENT CLINIC
COMMUNITY EXPERIENCE
Reviews of TRI-STATE COMMUNITY HEALTHCARE CENTER- ADELANTO 3
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