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850 S Health Parkway Three Rivers MI 49093-8358 | |
(269) 279-5240 | |
(269) 273-9060 |
Full Name | |
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Speciality | Clinic/Center |
Location | 850 S Health Parkway, Three Rivers, 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 |
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3245 Health Dr Ste 100 Granger IN 46530-1380 Ph: () - | 850 S Health Parkway Three Rivers MI 49093-8358 Ph: (269) 279-5240 |
NPI Number | 1790144079 |
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Provider Enumeration Date | 02/16/2016 |
Last Update Date | 09/18/2023 |
Medicare PECOS PAC ID | 8729245584 |
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Medicare Enrollment ID | O20190416000649 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790144079 | NPI | - | NPPES |
1790144079 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Three Rivers Health Endocrinology Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 721 S Health Pkwy, Three Rivers, MI 49093 Phone: 269-278-1145 Fax: 269-273-9611 | |