| |
721 6th Ave Suite A Three Rivers MI 49093-9387 | |
(269) 273-9782 | |
(269) 273-9711 |
Full Name | |
---|---|
Speciality | Clinic/center - Rural Health |
Location | 721 6th Ave, Three Rivers, 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 |
---|---|
701 S Health Pkwy Medical Staff Office Three Rivers MI 49093-8352 Ph: (269) 273-9789 | 721 6th Ave Suite A Three Rivers MI 49093-9387 Ph: (269) 273-9782 |
NPI Number | 1114902756 |
---|---|
Provider Enumeration Date | 12/07/2005 |
Last Update Date | 05/09/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114902756 | NPI | - | NPPES |
700G560080 | Other | MI | BCBSM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | 750020 (Michigan) | 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 | |