Three Rivers Health Family Care Centreville | |
677 E Main St Ste B Centreville MI 49032-8525 | |
(269) 467-9011 | |
(269) 467-9511 |
Full Name | Three Rivers Health Family Care Centreville |
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Speciality | Clinic/center - Rural Health |
Location | 677 E Main St Ste B, Centreville, Michigan |
Authorized Official Name and Position | William Russell (CEO/PRESIDENT) |
Authorized Official Contact | 2692739601 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Three Rivers Health Family Care Centreville 701 S Health Pkwy Medical Staff Office Three Rivers MI 49093-8352 Ph: (269) 273-9789 | Three Rivers Health Family Care Centreville 677 E Main St Ste B Centreville MI 49032-8525 Ph: (269) 467-9011 |
NPI Number | 1508840596 |
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Provider Enumeration Date | 12/02/2005 |
Last Update Date | 04/04/2013 |
Identifier | Type | State | Issuer |
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1508840596 | NPI | - | NPPES |
700G560080 | Other | MI | BCBSM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | 750020 (Michigan) | Primary |
Covered Bridge Healthcare Of St. Joseph County Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 658 E Main St, Centreville, MI 49032 Phone: 269-467-3228 | |
Three Rivers Health Family Care Centreville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 677 E Main St Ste B, Centreville, MI 49032 Phone: 269-467-9011 Fax: 269-467-9511 |