Organization
THREE RIVERS AREA HEALTH AUTHORITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE ANDREWS (ADMINISTRATOR)
(517) 787-6440
Entity
Organization
Contact information
Practice address
701 S HEALTH PKWY, THREE RIVERS, MI 49093-8352
(616) 278-1145
Mailing address
255 W MICHIGAN AVE, JACKSON, MI 49201-2218
(517) 787-6440
(517) 787-4146
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0G51083
BLUE SHIELD
MI
Enumeration date
09/12/2006
Last updated
07/25/2008
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