Organization
THREE RIVERS HEALTH SYSTEM, INC
Active
Parent organization
THREE RIVERS HEALTH SYSTEM, INC
Other names
Three Rivers Health MS Paws
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
1101 JEFFERSON ST, THREE RIVERS, MI 49093-1024
(269) 279-1130
(269) 273-1139
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376196691
—
MI
Enumeration date
07/17/2019
Last updated
09/22/2023
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