| Three Rivers Health System, Inc | |
|
601 E Chicago Rd White Pigeon MI 49099-9731 | |
| (269) 483-7624 | |
| (269) 483-7905 |
| Full Name | Three Rivers Health System, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 601 E Chicago Rd, White Pigeon, Michigan |
| Authorized Official Name and Position | Jeffery Costello (CFO) |
| Authorized Official Contact | 5746473460 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Three Rivers Health System, Inc 3245 Health Dr Ste 100 Ste 100 Granger IN 46530-1380 Ph: () - | Three Rivers Health System, Inc 601 E Chicago Rd White Pigeon MI 49099-9731 Ph: (269) 483-7624 |
| NPI Number | 1720350903 |
|---|---|
| Provider Enumeration Date | 02/02/2012 |
| Last Update Date | 09/18/2023 |
| Medicare PECOS PAC ID | 8729245584 |
|---|---|
| Medicare Enrollment ID | O20120216000326 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720350903 | NPI | - | NPPES |
| 1720350903 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Three Rivers Area Hospital Hospice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 119 S Kalamazoo St, White Pigeon, MI 49099 Phone: 269-483-7624 Fax: 269-483-7905 |