THREE RIVERS HEALTH AUTHORITY (NPI# 1508840596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508840596 |
| Entity Type | Organization |
| Organization Name | THREE RIVERS HEALTH AUTHORITY |
| Other Organization Name | THREE RIVERS HEALTH FAMILY CARE CENTREVILLE |
| Practice Address |
677 E Main St Ste B Centreville MI 49032-8525 |
| Mailing Address |
701 S Health Pkwy Medical Staff Office Three Rivers MI 49093-8352 |
| Practice Telephone | 2694679011 |
| Practice Fax Number | 2694679511 |
| Mailing Telephone | 2692739789 |
| Mailing Fax Number | 2692739611 |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2013-04-04 |
| 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 Centreville | 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 |
| 1114902756 | Three Rivers Health Authority | Clinic/Center | 721 6th Ave, Suite A, Three Rivers, MI 49093-9387 | 2005-12-07 |
| 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 |
677 E MAIN ST STE B |
| City | CENTREVILLE |
| State | MI |
| Zip Code | 49032-8525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912989021 | Linda Sue Evans | Pediatrics | 677 E Main St Ste B, Centreville, MI 49032-8525 | 2005-11-15 |
| 1205108586 | Three Rivers Health System, Inc | Clinic/Center | 677 E Main St Ste B, Centreville, MI 49032-8525 | 2012-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669901815 | Bridge Healthcare Pharmacy LLC | Pharmacy | 658 E. Main St, Suite 1, Centreville, MI 49032 | 2017-06-09 |
| 1962700054 | Jennifer Rose Fisher | Social Worker | 677 E. Main Street, Centreville, MI 49032 | 2011-03-14 |
| 1437452240 | Carol Ann Naccarato | Registered Nurse | 677 East Main Street, Suite A, Centreville, MI 49032 | 2010-12-16 |
| 1003120510 | Rebecca Nicole Brueck | Registered Nurse | 677 East Main, Suite A, Centreville, MI 49032 | 2010-07-27 |
| 1497081723 | Travis Scott Kohl | Counselor | 677 East Main St, Suite A, Centreville, MI 49032 | 2009-10-21 |
| 1811142946 | Paula Therese Berchiatti | Counselor | 677a E. Main Street, Centreville, MI 49032 | 2008-11-17 |
| 1669628160 | Bruce Ronald Hyde | Family Medicine | 658 E Main St, Centreville, MI 49032 | 2008-08-15 |
| 1932398815 | Heather Nicole Decastro | Counselor | 377a East Main, Centreville, MI 49032 | 2007-10-17 |
| 1073686432 | Linda Sue Overholt | Counselor | 338 N Fisher Ln, Centreville, MI 49032 | 2006-11-15 |
| 1174600522 | Stacy M Linihan | Social Worker | 658 East Main, Centreville, MI 49032 | 2006-11-01 |
| Find all providers in zip 49032 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972532299 | The Bibb County Healthcare Authority | Clinic/Center | 208 Pierson Avenue, Centreville, AL 35042-2946 | 2006-06-30 |
| 1205108586 | Three Rivers Health System, Inc | Clinic/Center | 677 E Main St Ste B, Centreville, MI 49032-8525 | 2012-02-02 |
| 1336416288 | Cahaba Medical Care of Al., LLC | Clinic/Center | 195 Hospital Dr, Centreville, AL 35042-2935 | 2011-11-21 |
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|---|---|---|---|---|
| 1487274940 | Mclaren Central Michigan | Clinic/Center | 2853 Health Pkwy, Mt Pleasant, MI 48858-9374 | 2020-04-24 |
| 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 | CENTREVILLE |
| Zip Code | 49032 |
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.