THREE RIVERS MEDICAL (NPI# 1225082332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225082332 |
| Entity Type | Organization |
| Organization Name | THREE RIVERS MEDICAL |
| Practice Address |
208 Suwannee Ave Nw Branford FL 32008-3265 |
| Practice Telephone | 3869351607 |
| Practice Fax Number | 3869351667 |
| Mailing Telephone | 3869351607 |
| Mailing Fax Number | 3869351667 |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2014-01-07 |
| Authorized Official Name | MS. FRANCES F COLE (ADMINISTRATOR) |
| Authorized Official Telephone | 3869351607 |
| Authorized Official Credential | BA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 660195200 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134749906 | Three Rivers Medical | Clinic/Center | 2725 E Governor John Sevier Hwy, Knoxville, TN 37914-6620 | 2020-04-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | THREE RIVERS MEDICAL CENTER | 500 Sw Ramsey Ave, Grants Pass, OR 97527 |
| Oregon Corporations, Companies and Business Names | THREE RIVERS MEDICAL CENTER FOUNDATION | 2600 Siskiyou Blvd, Medford, OR 97504 |
| Colorado Business Entities | Three Rivers Medical Inc. | 1507 Mark Twain Lane, Steamboat Springs, CO 80487 |
| Washington State Corporations | THREE RIVERS MEDICAL PROPERTIES, L.L.C. | 945 Goethals Dr, Suite 300, Richland, WA 99352-3552 |
| Washington State Corporations | THREE RIVERS MEDICAL THERAPY, PLLC | Po Box 4700, West Richland, WA 99353 |
| Street Address |
208 SUWANNEE AVE NW |
| City | BRANFORD |
| State | FL |
| Zip Code | 32008-3265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942254651 | Rodney Lee Scyphers | Nurse Practitioner | 208 Suwannee Ave Nw, Branford, FL 32008-3265 | 2006-05-19 |
| 1710049671 | Three Rivers Medical Inc. | Nurse Practitioner | 208 Suwannee Ave Nw, Branford, FL 32008-3265 | 2006-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073130548 | Kellie Ann White | Nurse Practitioner | 103 Us Highway 27, Branford, FL 32008 | 2020-07-01 |
| 1609382795 | Kristin Hope Mcintosh | Nurse Practitioner | 103 Us-27, Branford, FL 32008 | 2017-12-27 |
| 1457749897 | Holly M Reed | Registered Nurse | 103 Us Hwy 27, Branford, FL 32008 | 2015-01-08 |
| 1891874707 | Florida Department of Health | Public Health or Welfare | 120 Suwannee Ave, Branford, FL 32008 | 2006-11-02 |
| 1194140319 | Janice Baucom | Nurse Practitioner | 109 S.w. Savannah Ave., Branford, FL 32008 | 2014-02-25 |
| 1659487049 | Nancy Lee Cooper | Chiropractor | 13159 East Us Hwy 27, Branford, FL 32008-0396 | 2006-08-21 |
| 1568657716 | Cooper Chiropractic, Inc. | Chiropractor | 13159 East Us Hwy 27, Branford, FL 32008-0396 | 2007-09-11 |
| 1437461969 | Tracy D. Lamb | Developmental Therapist | 26082 Hwy 247, Branford, FL 32008-0744 | 2010-07-13 |
| 1639199243 | Bienvenido Samera | Family Medicine | 303 Suwannee Ave, Branford, FL 32008-0846 | 2006-07-20 |
| 1881246155 | Ajm Transport Company LLC | Non-emergency Medical Transport (VAN) | 4352 282nd Ter, Branford, FL 32008-2374 | 2019-07-16 |
| Find all providers in zip 32008 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689768772 | Andres R Villar Md | Clinic/Center | 122 Suwannee Ave Sw, Branford, FL 32008-2749 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952917015 | Bonifay Rural Health Cinic | Clinic/Center | 2910 Hospital Dr Ste A, Bonifay, FL 32425-4268 | 2020-09-23 |
| 1013540947 | Clark Clinic Inc | Clinic/Center | 12620 Curley St, San Antonio, FL 33576-8136 | 2020-02-19 |
| 1023506532 | Sacred Heart Hospital On The Gulf | Clinic/Center | 805 Highway 22, Wewahitchka, FL 32465-3237 | 2018-04-30 |
| 1639693492 | Clark Clinic Inc | Clinic/Center | 910 W Myers Blvd, Mascotte, FL 34753-9748 | 2017-08-02 |
| 1194173419 | Holmes County Hospital Corporation | Clinic/Center | 5556 Brown St, Graceville, FL 32440-1007 | 2016-05-26 |
| 1568826873 | Healthvine Medical Group Inc | Clinic/Center | 725 Benton Ave, Brooksville, FL 34601-3213 | 2016-04-12 |
| 1164808465 | Family and After Hours Care, LLC | Clinic/Center | 1413 Nw 23rd Ave, Chiefland, FL 32626 | 2015-08-10 |
| 1891171914 | High Springs Pediatrics LLC. | Clinic/Center | 14900 Nw 140th St, Alachua, FL 32615-6276 | 2015-07-31 |
| 1982963344 | Sacred Heart Hospital On The Gulf | Clinic/Center | 55 Avenue 'e', Apalachicola, FL 32320-1763 | 2012-05-04 |
| 1760776900 | Sonnis Pediatrics, Inc. | Clinic/Center | 1125 S 6th Ave, Wauchula, FL 33873-3350 | 2011-06-06 |
| Find all providers with the same taxonomy | ||||
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| 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.