# THREE RIVERS HEALTH SYSTEM INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** THREE RIVERS HEALTH SYSTEM INC
- **Other names:** Three Rivers Health Endocrinology
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1891054987
- **Legal business name:** THREE RIVERS HEALTH SYSTEM INC
- **Authorized official:** WILLIAM RUSSELL (CEO/PRESIDENT)
- **Authorized official phone:** (269) 273-9601

## Contact information

- **Practice address:** 715 S HEALTH PKWY, THREE RIVERS, MI 49093-8352
- **Practice address phone:** (269) 273-8471
- **Practice address fax:** (269) 273-9680
- **Mailing address:** 715 S HEALTH PKWY, THREE RIVERS, MI 49093-8352
- **Mailing address phone:** (269) 273-8471
- **Mailing address fax:** (269) 273-9680

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 750020 | MI | Yes |

## Other

- **Enumeration date:** 05/09/2012
- **Last updated:** 11/25/2014