# THREE RIVERS HEALTH SYSTEM, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** THREE RIVERS HEALTH SSYTEM, INC
- **Other names:** Three Rivers Health Sleep Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1902163322
- **Legal business name:** THREE RIVERS HEALTH SSYTEM, INC
- **Authorized official:** JEFFERY COSTELLO (CFO)
- **Authorized official phone:** (574) 647-3460

## Contact information

- **Practice address:** 701 S HEALTH PKWY, THREE RIVERS, MI 49093-8352
- **Practice address phone:** (269) 278-1145
- **Mailing address:** 711 S HEALTH PKWY, SUITE L-7, THREE RIVERS, MI 49093-9387
- **Mailing address phone:** (269) 273-9640

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | 750020 | MI | Yes |

## Other

- **Enumeration date:** 04/23/2012
- **Last updated:** 06/23/2022