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Organization

THREE RIVERS HEALTH SYSTEM, INC

Active
Parent organization
THREE RIVERS HEALTH SYSTEM, INC
Other names
Three Rivers Health Orthopedics
Organization subpart
Yes

Provider details

NPI number
Legal business name
THREE RIVERS HEALTH SYSTEM, INC
Authorized official
JEFFERY COSTELLO (CFO / CHIEF FINANCIAL OFFICER)
(574) 647-3460
Entity
Organization

Contact information

Practice address
1021 HILL ST STE 300, THREE RIVERS, MI 49093-2744
(269) 858-3024
(269) 273-9040
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1124390307
MI
Enumeration date
02/02/2012
Last updated
07/22/2024
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