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Organization
THREE RIVERS HEALTH SYSTEM, INC
Active
Organization
THREE RIVERS HEALTH SYSTEM, INC
Active
Parent organization
THREE RIVERS HEALTH SYSTEM, INC
Other names
Three Rivers Health Center for Family Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
THREE RIVERS HEALTH SYSTEM, INC
Authorized official
JEFFERY COSTELLO (CFO)
(574) 647-3460
Entity
Organization
Contact information
Practice address
850 S HEALTH PARKWAY, THREE RIVERS, MI 49093-8358
(269) 279-5240
(269) 273-9060
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
02/16/2016
Last updated
09/18/2023
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