THREE RIVERS HEALTH AUTHORITY (NPI# 1114902756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114902756 |
| Entity Type | Organization |
| Organization Name | THREE RIVERS HEALTH AUTHORITY |
| Other Organization Name | THREE RIVERS HEALTH FAMILY CARE THREE RIVERS |
| Practice Address |
721 6th Ave Suite A Three Rivers MI 49093-9387 |
| Mailing Address |
701 S Health Pkwy Medical Staff Office Three Rivers MI 49093-8352 |
| Practice Telephone | 2692739782 |
| Practice Fax Number | 2692739711 |
| Mailing Telephone | 2692739789 |
| Mailing Fax Number | 2692739611 |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2013-05-09 |
| Authorized Official Name | WILLIAM RUSSELL (CEO/PRESIDENT) |
| Authorized Official Telephone | 2692739601 |
| Is Organization Subpart | Y |
| Parent Organization Name | THREE RIVERS HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
750020 | MI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBSM | 700G560080 | 01 |
| Other Name | Type Code |
|---|---|
| Three Rivers Health Family Care Three Rivers | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780659565 | Three Rivers Health Authority | Home Health | 633 S Erie St, Three Rivers, MI 49093-2073 | 2006-02-23 |
| 1700121720 | Three Rivers Health Authority | Internal Medicine | 1021 Hill St, Suite 100, Three Rivers, MI 49093-2745 | 2012-12-03 |
| 1942374756 | Three Rivers Health Authority | Medicare Defined Swing Bed Unit | 701 S Health Pkwy, Three Rivers, MI 49093-8352 | 2006-11-20 |
| 1245347343 | Three Rivers Health Authority | Rehabilitation Unit | 701 S Health Pkwy, Three Rivers, MI 49093-8352 | 2006-08-24 |
| 1215903596 | Three Rivers Health Authority | Hospice Care, Community Based | 633 S Erie St, Three Rivers, MI 49093-2073 | 2006-02-27 |
| 1508840596 | Three Rivers Health Authority | Clinic/Center | 677 E Main St Ste B, Centreville, MI 49032-8525 | 2005-12-02 |
| 1386626075 | Three Rivers Health Authority | General Acute Care Hospital | 701 S Health Pkwy, Medical Staff Office, Three Rivers, MI 49093-8352 | 2005-11-17 |
| Street Address |
721 6TH AVE SUITE A |
| City | THREE RIVERS |
| State | MI |
| Zip Code | 49093-9387 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720060783 | Seema Satish Salvi | Pediatrics | 721 6th Ave, Suite A, Three Rivers, MI 49093-8328 | 2005-11-16 |
| 1093160301 | Abigail Evans | Nurse Practitioner | 721 6th Ave, Three Rivers, MI 49093-8302 | 2016-04-25 |
| 1407230212 | Jonathan Vandenburgh | Dentist | 721 6th Ave, Three Rivers, MI 49093-8302 | 2015-07-13 |
| 1750769717 | Zena Alyashae | Family Medicine | 721 6th Ave, Three Rivers, MI 49093-8302 | 2015-05-11 |
| 1013289297 | Three Rivers Health System, Inc | Clinic/Center | 721 6th Ave, Suite A, Three Rivers, MI 49093-8302 | 2012-02-02 |
| 1831128677 | Anna Sabina Grabowska-chebes | Internal Medicine | 721 6th Ave, Suite A, Three Rivers, MI 49093-8302 | 2006-07-02 |
| 1598749913 | Nyla Schwartz | Physician Assistant | 721 6th Ave, Suite B, Three Rivers, MI 49093-8302 | 2005-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366833865 | Brandy Peterson | Technician/Technologist | 18511 South River Rd, Three Rivers, MI 49093 | 2015-02-05 |
| 1073933958 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 800 S Us Highway 131 Ste A, Three Rivers, MI 49093 | 2014-04-18 |
| 1184927865 | Autumn Brooke Walton | Counselor | 30 N. Main St., Three Rivers, MI 49093 | 2010-12-17 |
| 1972730877 | Peggy Cahue-kuipers | Counselor | 1020 Millard, Three Rivers, MI 49093 | 2009-06-18 |
| 1215101530 | Raelene Mckeon Kent | Pediatrics | 601 S. Us 131, Three Rivers, MI 49093 | 2008-04-17 |
| 1407043722 | Assisted Living Concepts Inc | Assisted Living Facility | 1215 Ne Elm Street, Three Rivers, MI 49093 | 2007-10-01 |
| 1205047552 | Judith Anderson | Psychologist | 131 Enterprise St, Three Rivers, MI 49093 | 2007-05-25 |
| 1619013240 | Michael Angelo Cucci | Dentist | 221 North Hooker Ave, Three Rivers, MI 49093 | 2007-01-30 |
| 1659421204 | Meijer Inc | Durable Medical Equipment & Medical Supplies | 800 S Us 131, Three Rivers, MI 49093 | 2007-01-12 |
| 1679622401 | Gail Marjorie Woods | Dentist | 57175 North Main Street, Three Rivers, MI 49093 | 2007-01-10 |
| Find all providers in zip 49093 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740258417 | Jourdanton Hospital Corporation | Clinic/Center | 105 E Thornton St, Three Rivers, TX 78071 | 2006-03-09 |
| 1043582224 | Three Rivers Health System, Inc | Clinic/Center | 711 S Health Pkwy, Three Rivers, MI 49093-9387 | 2012-02-02 |
| 1013289297 | Three Rivers Health System, Inc | Clinic/Center | 721 6th Ave, Suite A, Three Rivers, MI 49093-8302 | 2012-02-02 |
| 1518288265 | Three Rivers Health | Clinic/Center | 711 S Health Pkwy, Suite 1, Three Rivers, MI 49093-9387 | 2010-06-17 |
| 1316099302 | Promed Healthcare | Clinic/Center | 1241 W Broadway St, Three Rivers, MI 49093-8319 | 2007-01-18 |
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| 1821618687 | Mclaren Central Michigan | Clinic/Center | 3520 N Woodruff Rd, Weidman, MI 48893-7734 | 2020-04-22 |
| 1932747946 | Mckenzie Memorial Hospital | Clinic/Center | 170 W Argyle Street, Sandusky, MI 48471 | 2019-12-20 |
| 1326681461 | Munson Healthcare Charlevoix Hospital | Clinic/Center | 14719 W Upright St, Charlevoix, MI 49720-1949 | 2019-10-22 |
| 1881254605 | Schoolcraft Memorial Hospital | Clinic/Center | W11650 Us Highway 2, Naubinway, MI 49762-5116 | 2019-06-14 |
| 1093370264 | Samaritan Health Care, PC | Clinic/Center | 4361 220th Ave, Reed City, MI 49677-8594 | 2019-05-03 |
| 1457916637 | Samaritan Health Care, PC | Clinic/Center | 5916 Us Highway 31 S, Charlevoix, MI 49720-9703 | 2019-05-03 |
| 1033621263 | Caro Community Hospital | Clinic/Center | 345 N State St, Caro, MI 48723-1537 | 2017-10-27 |
| 1275050726 | Hills & Dales General Hospital, Inc. | Clinic/Center | 130 Millwood Street, Caro, MI 48723-1630 | 2017-08-25 |
| 1275932329 | Sturgis Hospital, Inc. | Clinic/Center | 111 S Saint Joseph St, Colon, MI 49040-9342 | 2014-08-14 |
| Find all providers with the same taxonomy | ||||
| City | THREE RIVERS |
| Zip Code | 49093 |
Please comment or provide details below to improve the information on THREE RIVERS HEALTH AUTHORITY.
| 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.