Organization
THREE RIVERS HEALTH SYSTEM, INC
Active
Parent organization
THREE RIVERS HEALTH SYSTEM, INC
Other names
Three Rivers Health IMED
Organization subpart
Yes
Provider details
NPI number
Legal business name
THREE RIVERS HEALTH SYSTEM, INC
Authorized official
JEFFERY COSTELLO (CFO)
(574) 647-3460
Entity
Organization
Contact information
Practice address
16587 ENTERPRISE DR, THREE RIVERS, MI 49093-7902
(269) 279-6700
(269) 279-9612
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821631334
—
MI
Enumeration date
10/28/2019
Last updated
03/22/2026
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