# THREE RIVERS HEALTH SYSTEM, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** THREE RIVERS HEALTH SYSTEM, INC
- **Other names:** Three Rivers Health Family, Internal Medicine and Womens Services
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1043582224
- **Legal business name:** THREE RIVERS HEALTH SYSTEM, INC
- **Authorized official:** JEFFERY COSTELLO (CFO)
- **Authorized official phone:** (574) 647-3460

## Contact information

- **Practice address:** 711 S HEALTH PARKWAY STE 1, THREE RIVERS, MI 49093-8354
- **Practice address phone:** (269) 273-8557
- **Practice address fax:** (269) 279-6461
- **Mailing address:** 3245 HEALTH DR STE 100, GRANGER, IN 46530-1380

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/02/2012
- **Last updated:** 09/18/2023