# THREE RIVERS HEALTH SYSTEM, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** THREE RIVERS HEALTH
- **Other names:** Three Rivers Health Schimnoski Family Practice
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1508138785
- **Legal business name:** THREE RIVERS HEALTH
- **Authorized official:** WILLIAM RUSSELL (CEO/PRESIDENT)
- **Authorized official phone:** (269) 273-9601

## Contact information

- **Practice address:** 711 S HEALTH PKWY, SUITE 4, THREE RIVERS, MI 49093-9387
- **Practice address phone:** (269) 278-1265
- **Practice address fax:** (269) 273-2454
- **Mailing address:** 711 S HEALTH PKWY, SUITE 4, THREE RIVERS, MI 49093-9387
- **Mailing address phone:** (269) 278-1265
- **Mailing address fax:** (269) 273-2454

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | 750020 | MI | Yes |

## Other

- **Enumeration date:** 02/02/2012
- **Last updated:** 02/02/2012
