Organization
THREE RIVERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AUDREY SCHREMMER - PHILIPS (EXECUTIVE DIRECTOR)
(785) 456-9915
Entity
Organization
Contact information
Practice address
408 LINCOLN AVE., WAMEGO, KS 66547-1632
(785) 456-9915
(785) 456-1419
Mailing address
P.O. BOX 408, 408 LINCOLN AVE., WAMEGO, KS 66547-1632
(785) 456-9915
(785) 456-1419
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
100020570C
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100020570A
—
KS
05
—
100020570C
—
KS
Enumeration date
01/29/2007
Last updated
07/14/2008
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