THREE RIVERS HEALTH SYSTEM, INC (NPI# 1205108586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205108586 |
| Entity Type | Organization |
| Organization Name | THREE RIVERS HEALTH SYSTEM, INC |
| Other Organization Name | THREE RIVERS HEALTH FAMILY CARE CENTREVILLE |
| Practice Address |
677 E Main St Ste B Centreville MI 49032-8525 |
| Mailing Address |
677 E Main St Ste B P.o. Box 310 Centreville MI 49032-8525 |
| Practice Telephone | 2694679011 |
| Practice Fax Number | 2694679511 |
| Mailing Telephone | 2694679011 |
| Mailing Fax Number | 2694679511 |
| Enumeration Date | 2012-02-02 |
| Last Update Date | 2012-02-02 |
| Authorized Official Name | WILLIAM RUSSELL (CEO/PRESIDENT) |
| Authorized Official Telephone | 2692739601 |
| Is Organization Subpart | Y |
| Parent Organization Name | THREE RIVERS HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
750020 | MI | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Three Rivers Health Family Care Centreville | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124390307 | Three Rivers Health System, Inc | Podiatrist | 1021 Hill St Ste 300, Three Rivers, MI 49093-2744 | 2012-02-02 |
| 1346874070 | Three Rivers Health System, Inc | Internal Medicine | 715 S Health Pkwy, Three Rivers, MI 49093-8352 | 2020-03-03 |
| 1821631334 | Three Rivers Health System, Inc | Clinic/Center | 16587 Enterprise Dr, Three Rivers, MI 49093-7902 | 2019-10-28 |
| 1427608785 | Three Rivers Health System, Inc | Nutritionist | 701 S Health Pkwy, Three Rivers, MI 49093-8352 | 2019-09-18 |
| 1376196691 | Three Rivers Health System, Inc | Social Worker | 1101 Jefferson St, Three Rivers, MI 49093-1024 | 2019-07-17 |
| 1174065767 | Three Rivers Health System, Inc | Plastic Surgery | 1021 Hill St, Suite 300, Three Rivers, MI 49093-2745 | 2016-11-14 |
| 1790144079 | Three Rivers Health System, Inc | Family Medicine | 850 S Health Pkwy, Three Rivers, MI 49093-8358 | 2016-02-16 |
| 1942669296 | Three Rivers Health System, Inc | Otolaryngology | 3850 Glenkerry Ct, Portage, MI 49024-0700 | 2016-02-15 |
| 1992197925 | Three Rivers Health System, Inc | Podiatrist | 7971 Moorsbridge Rd, Portage, MI 49024-4075 | 2015-02-27 |
| 1093113151 | Three Rivers Health System, Inc | Family Medicine | 850 S Health Pkwy, Three Rivers, MI 49093-8358 | 2014-12-05 |
| Street Address |
677 E MAIN ST STE B |
| City | CENTREVILLE |
| State | MI |
| Zip Code | 49032-8525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912989021 | Linda Sue Evans | Pediatrics | 677 E Main St Ste B, Centreville, MI 49032-8525 | 2005-11-15 |
| 1508840596 | Three Rivers Health Authority | Clinic/Center | 677 E Main St Ste B, Centreville, MI 49032-8525 | 2005-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669901815 | Bridge Healthcare Pharmacy LLC | Pharmacy | 658 E. Main St, Suite 1, Centreville, MI 49032 | 2017-06-09 |
| 1962700054 | Jennifer Rose Fisher | Social Worker | 677 E. Main Street, Centreville, MI 49032 | 2011-03-14 |
| 1437452240 | Carol Ann Naccarato | Registered Nurse | 677 East Main Street, Suite A, Centreville, MI 49032 | 2010-12-16 |
| 1003120510 | Rebecca Nicole Brueck | Registered Nurse | 677 East Main, Suite A, Centreville, MI 49032 | 2010-07-27 |
| 1497081723 | Travis Scott Kohl | Counselor | 677 East Main St, Suite A, Centreville, MI 49032 | 2009-10-21 |
| 1811142946 | Paula Therese Berchiatti | Counselor | 677a E. Main Street, Centreville, MI 49032 | 2008-11-17 |
| 1669628160 | Bruce Ronald Hyde | Family Medicine | 658 E Main St, Centreville, MI 49032 | 2008-08-15 |
| 1932398815 | Heather Nicole Decastro | Counselor | 377a East Main, Centreville, MI 49032 | 2007-10-17 |
| 1073686432 | Linda Sue Overholt | Counselor | 338 N Fisher Ln, Centreville, MI 49032 | 2006-11-15 |
| 1174600522 | Stacy M Linihan | Social Worker | 658 East Main, Centreville, MI 49032 | 2006-11-01 |
| Find all providers in zip 49032 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972532299 | The Bibb County Healthcare Authority | Clinic/Center | 208 Pierson Avenue, Centreville, AL 35042-2946 | 2006-06-30 |
| 1336416288 | Cahaba Medical Care of Al., LLC | Clinic/Center | 195 Hospital Dr, Centreville, AL 35042-2935 | 2011-11-21 |
| 1508840596 | Three Rivers Health Authority | Clinic/Center | 677 E Main St Ste B, Centreville, MI 49032-8525 | 2005-12-02 |
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| 1275932329 | Sturgis Hospital, Inc. | Clinic/Center | 111 S Saint Joseph St, Colon, MI 49040-9342 | 2014-08-14 |
| Find all providers with the same taxonomy | ||||
| City | CENTREVILLE |
| Zip Code | 49032 |
Please comment or provide details below to improve the information on THREE RIVERS HEALTH SYSTEM, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.