Organization · Type 2 NPI

Three Rivers Health Authority

Rural Health Clinic/Center · Three Rivers, MI

NPI number 1114902756 Active

Practice location

721 6th Ave, Suite A
Three Rivers, MI 49093-9387

Call (269) 273-9782 Map

Fax (269) 273-9711

Mailing address

701 S Health Pkwy, Medical Staff Office
Three Rivers, MI 49093-8352

Specialties and licenses

Taxonomy	Code	License
Rural Health Clinic/Center Primary	261QR1300X	750020 (MI)

Rural Health Clinic/Center: Definition to come...

6 other providers at this address

Other rural health clinic/center providers in Three Rivers

Three Rivers Health System, IncRural Health Clinic/Center Three Rivers, MI NPI 1013289297
Three Rivers Health System, IncRural Health Clinic/Center Three Rivers, MI NPI 1043582224
Promed HealthcareRural Health Clinic/Center Three Rivers, MI NPI 1316099302
Three Rivers HealthRural Health Clinic/Center Three Rivers, MI NPI 1518288265
Three Rivers Health System, IncRural Health Clinic/Center Three Rivers, MI NPI 1790144079

See all in Three Rivers →

NPI record

NPI: 1114902756
Entity type: Organization (Type 2)
Issued: Dec 7, 2005
Last updated: May 9, 2013
Status: Active
Subpart: Yes of Three Rivers Health

Other names

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Three Rivers Health Family Care Three Rivers · doing business as

Authorized official

William Russell
CEO/president
(269) 273-9601

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1114902756

Three Rivers Health Authority's National Provider Identifier is 1114902756, issued on Dec 7, 2005. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Three Rivers, MI. The record was last updated on May 9, 2013.