Organization
THREE RIVERS HEALTH AUTHORITY
Active
Parent organization
THREE RIVERS HEALTH
Other names
Three Rivers Health Hospice
Organization subpart
Yes
Provider details
NPI number
Legal business name
THREE RIVERS HEALTH
Authorized official
WILLIAM RUSSELL CEO (PRESIDENT)
(269) 273-9601
Entity
Organization
Contact information
Practice address
633 S ERIE ST, THREE RIVERS, MI 49093-2073
(269) 278-6108
(269) 273-4316
Mailing address
633 S ERIE ST, THREE RIVERS, MI 49093-2073
(269) 278-6108
(269) 273-4316
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
750020
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08774
BCBS
MI
05
—
3440146-15
—
MI
Enumeration date
02/27/2006
Last updated
03/21/2013
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