TRI-RIVERS HEALTHCARE PLLC (NPI# 1699895003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699895003 |
| Entity Type | Organization |
| Organization Name | TRI-RIVERS HEALTHCARE PLLC |
| Other Organization Name | MARION PHYSICIANS CLINIC |
| Practice Address |
308 S Main St Marion KY 42064-1545 |
| Mailing Address |
141 Hospital Drive Po Box 347 Salem KY 42078-0347 |
| Practice Telephone | 2709654377 |
| Practice Fax Number | 2709659569 |
| Mailing Telephone | 2709883298 |
| Mailing Fax Number | 2709884642 |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2015-01-06 |
| Authorized Official Name | MR. MICHAEL ALBIN HENEISEN (AGENT) |
| Authorized Official Telephone | 2709883298 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 208D00000X | General Practice | Allopathic & Osteopathic Physicians | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
900215 | KY | Ambulatory Health Care Facilities |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100091570 | 05 | |
| KY | 7890094100 | 05 | |
| KY | 6590103500 | 05 |
| Other Name | Type Code |
|---|---|
| Marion Physicians Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598885998 | Tri-rivers Healthcare Pllc | Family Medicine | 205 E Adair St, Smithland, KY 42081-9507 | 2007-03-30 |
| 1588644496 | Tri-rivers Healthcare Pllc | Physician Assistant | 141 Hospital Dr, Salem, KY 42078-8043 | 2006-01-18 |
| Street Address |
308 S MAIN ST |
| City | MARION |
| State | KY |
| Zip Code | 42064-1545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912212143 | Stephanie L Mundy | Registered Nurse | 308 S Main St, Marion, KY 42064-1545 | 2010-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154840924 | Tashena Elizabeth Hill | Pharmacist | 520 West Gum St., Marion, KY 42064 | 2017-09-13 |
| 1629318365 | Christopher Scott Wynn | Chiropractor | 107 Morningside Dr Ste 4, Marion, KY 42064 | 2013-02-17 |
| 1184747636 | John Jason Newcom | Chiropractor | 913 South Main Street, Marion, KY 42064 | 2007-04-09 |
| 1578684247 | Melissa Gayle Myers | Case Manager/Care Coordinator | 6654 State Road 1668, Marion, KY 42064 | 2007-04-02 |
| 1629195185 | Pennyrile District Health Department | Public Health or Welfare | 190 Industrial Dr., Marion, KY 42064 | 2007-03-22 |
| 1285747915 | Steve Evert Crider | Dentist | 913 B South Main Street, Marion, KY 42064 | 2006-08-16 |
| 1194726752 | Starkey Family Practice | Chiropractor | 789 Chapel Hill Road, Marion, KY 42064 | 2005-08-04 |
| 1659601755 | Graves County Health Department | Public Health or Welfare | 416 Central Avenue, Mayfield, KY 42064 | 2010-01-12 |
| 1245209790 | Crittenden County Hospital | General Acute Care Hospital | 520 W Gum St, Marion, KY 42064 | 2006-03-16 |
| 1841462223 | Crittenden County Hospital | Home Health | 520 West Gum St, Marion, KY 42064-0386 | 2008-03-26 |
| Find all providers in zip 42064 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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| 1962689240 | Craig W. Furry | Clinic/Center | 1306 N Atchison Ave, Suite C, Marion, IL 62959-5426 | 2008-01-29 |
| 1770600066 | Vaughan Regional Medical Center LLC | Clinic/Center | Highway 45 South, Route 2, Box 4-d, Marion, AL 36756 | 2007-03-23 |
| 1871666909 | Healthcare Management Group, Inc. | Clinic/Center | 2236 E Highway 76 Ste B, Marion, SC 29571-6353 | 2006-11-16 |
| 1780650150 | Union General Hospital | Clinic/Center | 3150 Taylor St, Marion, LA 71260-3653 | 2006-02-27 |
| 1083602973 | Health Plan of Southern Illinois, Inc. | Clinic/Center | 1028 N Market St, Marion, IL 62959-2220 | 2005-10-13 |
| 1285108621 | Heartland Women's Healthcare Ltd | Clinic/Center | 3408 Office Park Dr, Marion, IL 62959-6477 | 2019-01-18 |
| 1871953174 | Bucyrus Community Hospital | Clinic/Center | 1069 Delaware Ave, Marion, OH 43302-1400 | 2016-02-29 |
| 1669812962 | Kemper, Cah, Inc. | Clinic/Center | 5334 Dale Dr, Marion, MS 39342-9604 | 2013-07-01 |
| 1740570076 | Freeman Regional Health Services | Clinic/Center | 307 E State St, Marion, SD 57043-2061 | 2011-04-07 |
| Find all providers in MARION | ||||
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| 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.