Organization · Type 2 NPI

Three Rivers Health System, Inc

Family Medicine Physician · Marcellus, MI

NPI number 1245668383 Active

Practice location

110 E Main St
Marcellus, MI 49067

Call (269) 646-0443 Map

Fax (269) 646-0447

Mailing address

3245 Health Dr Ste 100
Granger, IN 46530-1380

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed
Primary Care Clinic/Center	261QP2300X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

NPI record

NPI: 1245668383
Entity type: Organization (Type 2)
Issued: Oct 29, 2013
Last updated: Sep 27, 2023
Status: Active
Subpart: Yes of Three Rivers Health System, Inc

Other names

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Three Rivers Health Family Care Marcellus · doing business as
Three Rivers Health Family Care Marcellus · doing business as

Authorized official

Jeffery Costello
CFO
(574) 647-3460

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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 1245668383

Three Rivers Health System, Inc's National Provider Identifier is 1245668383, issued on Oct 29, 2013. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Marcellus, MI. The record was last updated on Sep 27, 2023.