# THREE RIVERS HEALTH

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

## Provider details

- **NPI number:** 1518288265
- **Legal business name:** THREE RIVERS HEALTH
- **Authorized official:** WILLIAM RUSSELL (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (269) 273-9601

## Contact information

- **Practice address:** 711 S HEALTH PKWY, SUITE 1, THREE RIVERS, MI 49093-9387
- **Practice address phone:** (269) 273-8557
- **Practice address fax:** (269) 279-6461
- **Mailing address:** 711 S HEALTH PKWY, SUITE 1, THREE RIVERS, MI 49093-9387
- **Mailing address phone:** (269) 273-8557
- **Mailing address fax:** (269) 279-6461

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | 750020 | MI | Yes |

## Other

- **Enumeration date:** 06/17/2010
- **Last updated:** 02/24/2014