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Organization

THREE RIVERS HEALTH SYSTEM, INC

Active
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Organization

THREE RIVERS HEALTH SYSTEM, INC

Active
Parent organization
THREE RIVERS HEALTH SYSTEM, INC
Other names
Three Rivers Health IMED
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
16587 ENTERPRISE DR, THREE RIVERS, MI 49093-7902
(269) 279-6700
(269) 279-9612
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
NULL
207X00000X
Orthopaedic Surgery Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
NULL
261QX0100X
Occupational Medicine Clinic/Center
—
NULL
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—

Other

Enumeration date
10/28/2019
Last updated
03/22/2026
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