Organization
THREE RIVERS HEALTH SYSTEM, INC
Active
Parent organization
THREE RIVERS HEALTH SYSTEM, INC
Other names
Three Rivers Health Family Care Three Rivers
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
721 6TH AVE STE A, THREE RIVERS, MI 49093-8378
(269) 273-9782
(269) 273-9711
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013289297
—
MI
Enumeration date
02/02/2012
Last updated
09/18/2023
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