THREE RIVERS HEALTH SYSTEM, INC (NPI# 1245668383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245668383 |
| Entity Type | Organization |
| Organization Name | THREE RIVERS HEALTH SYSTEM, INC |
| Other Organization Name | THREE RIVERS HEALTH FAMILY CARE MARCELLUS |
| Practice Address |
110 E Main St Marcellus MI 49067-5102 |
| Practice Telephone | 2696460443 |
| Practice Fax Number | 2696460447 |
| Mailing Telephone | 2696460443 |
| Mailing Fax Number | 2696460447 |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2013-10-29 |
| Authorized Official Name | WILLIAM RUSSELL (CEO) |
| Authorized Official Telephone | 2692739601 |
| Is Organization Subpart | Y |
| Parent Organization Name | THREE RIVERS HEALTH SYSTEM, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
750050 | MI | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Three Rivers Health Family Care Marcellus | 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 |
110 E MAIN ST |
| City | MARCELLUS |
| State | MI |
| Zip Code | 49067-5102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538383351 | Bronson Lakeview Hospital | Family Medicine | 110 E Main St, Marcellus, MI 49067-8523 | 2007-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730533878 | Agape Afc Home | In Home Supportive Care | 10014 M-216, Marcellus, MI 49067 | 2016-04-14 |
| 1811005697 | Merri Ann Terborgh | Social Worker | 56465 Old 119, Marcellus, MI 49067 | 2006-08-29 |
| 1619038288 | Ashley Gose | Physician Assistant | 110 E. Main, Marcellus, MI 49067-5102 | 2006-12-13 |
| 1043439946 | Marcellus Market Inc. | Pharmacy | 101 E Main St, Marcellus, MI 49067-8523 | 2007-04-25 |
| 1851343297 | Marcellus Area Emergency Services Association | Ambulance | 177 E Main St, Marcellus, MI 49067-8523 | 2006-05-16 |
| 1174978134 | Janice Parmeter | Custodial Care Facility | 52710 Lewis Lake Rd, Marcellus, MI 49067-9304 | 2016-04-27 |
| 1194081778 | Deborah Jean Spencer | Counselor | 52986 Chamberlain Rd, Marcellus, MI 49067-9325 | 2012-04-08 |
| 1215177613 | Bruce Albert Heustis | Counselor | 11017 Herring St, Marcellus, MI 49067-9412 | 2009-02-24 |
| 1003144908 | Best of Care Home Care L.L.C. | In Home Supportive Care | 51881 Welcher Dr, Marcellus, MI 49067-9759 | 2009-12-03 |
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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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.