| Three Rivers Health Ms Paws | |
|
1101 Jefferson St Three Rivers MI 49093-1024 | |
| (269) 279-1130 | |
| (269) 273-1139 |
| Full Name | Three Rivers Health Ms Paws |
|---|---|
| Speciality | Social Worker - School |
| Location | 1101 Jefferson St, Three Rivers, Michigan |
| Authorized Official Name and Position | Jeffery Costello (CFO, CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 5746473460 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Three Rivers Health Ms Paws 3245 Health Dr Ste 100 Granger IN 46530-1380 Ph: () - | Three Rivers Health Ms Paws 1101 Jefferson St Three Rivers MI 49093-1024 Ph: (269) 279-1130 |
| NPI Number | 1376196691 |
|---|---|
| Provider Enumeration Date | 07/17/2019 |
| Last Update Date | 09/22/2023 |
| Certification Date | 09/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376196691 | NPI | - | NPPES |
| 1376196691 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041S0200X | Social Worker - School | (* (Not Available)) | Primary |
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