Organization · Type 2 NPI

Three Rivers Health System, Inc

Rural Health Clinic/Center · Three Rivers, MI

NPI number 1790144079 Active

Practice location

850 S Health Parkway
Three Rivers, MI 49093-8358

Call (269) 279-5240 Map

Fax (269) 273-9060

Mailing address

3245 Health Dr Ste 100
Granger, IN 46530-1380

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician	207Q00000X	None listed
Rural Health Clinic/Center Primary	261QR1300X	None listed

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

2 other providers at this address

Ashley McClain Gose, P.A.Physician Assistant Three Rivers, MI NPI 1619038288
Nicole Lynn Shaw, FNPFamily Nurse Practitioner Three Rivers, MI NPI 1417627589

Other rural health clinic/center providers in Three Rivers

See all in Three Rivers →

NPI record

NPI: 1790144079
Entity type: Organization (Type 2)
Issued: Feb 16, 2016
Last updated: Sep 18, 2023
Status: Active
Subpart: Yes of Three Rivers Health System, Inc

Other names

<unavail>
Three Rivers Health Center for Family Medicine · doing business as
Three Rivers Health Center for Family Medicine · doing business as

Authorized official

Jeffery Costello
CFO
(574) 647-3460

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 1790144079

Three Rivers Health System, Inc's National Provider Identifier is 1790144079, issued on Feb 16, 2016. 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 Sep 18, 2023.