# THREE RIVERS MEDICAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225082332
- **Authorized official:** MS. FRANCES F COLE BA (ADMINISTRATOR)
- **Authorized official phone:** (386) 935-1607

## Contact information

- **Practice address:** 208 SUWANNEE AVE NW, BRANFORD, FL 32008-3265
- **Practice address phone:** (386) 935-1607
- **Practice address fax:** (386) 935-1667
- **Mailing address:** 208 SUWANNEE AVE NW, BRANFORD, FL 32008-3265
- **Mailing address phone:** (386) 935-1607
- **Mailing address fax:** (386) 935-1667

## Taxonomy

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

## Other

- **Enumeration date:** 05/22/2006
- **Last updated:** 01/07/2014