Provider Demographics
NPI:1982194452
Name:THREE RIVERS HEALTH SYSTEM INC
Entity Type:Organization
Organization Name:THREE RIVERS HEALTH SYSTEM INC
Other - Org Name:FAMILY WELLNESS OF THREE RIVERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDREWS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:269-278-1145
Mailing Address - Street 1:711 S HEALTH PKWY STE L7
Mailing Address - Street 2:
Mailing Address - City:THREE RIVERS
Mailing Address - State:MI
Mailing Address - Zip Code:49093-8354
Mailing Address - Country:US
Mailing Address - Phone:269-273-6949
Mailing Address - Fax:269-273-6953
Practice Address - Street 1:655 S ERIE ST
Practice Address - Street 2:
Practice Address - City:THREE RIVERS
Practice Address - State:MI
Practice Address - Zip Code:49093-2060
Practice Address - Country:US
Practice Address - Phone:269-273-9746
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THREE RIVERS HEALTH SYSTEM INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-05-10
Last Update Date:2018-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty