| Three Rivers Health System, Inc | |
|
110 E Main St Marcellus MI 49067 | |
| (269) 646-0443 | |
| (269) 646-0447 |
| Full Name | Three Rivers Health System, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 110 E Main St, Marcellus, Michigan |
| Authorized Official Name and Position | Jeffery Costello (CFO) |
| Authorized Official Contact | 5746473460 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Three Rivers Health System, Inc 3245 Health Dr Ste 100 Granger IN 46530-1380 Ph: () - | Three Rivers Health System, Inc 110 E Main St Marcellus MI 49067 Ph: (269) 646-0443 |
| NPI Number | 1245668383 |
|---|---|
| Provider Enumeration Date | 10/29/2013 |
| Last Update Date | 09/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245668383 | NPI | - | NPPES |
| 1245668383 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Bronson Lakeview Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 E Main St, Marcellus, MI 49067 Phone: 269-646-5004 Fax: 269-646-6002 |