| Three Rivers Health Family Care White Pigeon | |
|
119 S Kalamazoo St White Pigeon MI 49099-8149 | |
| (269) 483-7624 | |
| (269) 483-7905 |
| Full Name | Three Rivers Health Family Care White Pigeon |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 119 S Kalamazoo St, White Pigeon, Michigan |
| Authorized Official Name and Position | William Russell (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2692739601 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Three Rivers Health Family Care White Pigeon 701 S Health Pkwy Medical Staff Office Three Rivers MI 49093-8352 Ph: (269) 273-9789 | Three Rivers Health Family Care White Pigeon 119 S Kalamazoo St White Pigeon MI 49099-8149 Ph: (269) 483-7624 |
| NPI Number | 1255316774 |
|---|---|
| Provider Enumeration Date | 12/07/2005 |
| Last Update Date | 08/29/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255316774 | NPI | - | NPPES |
| 700G560080 | Other | MI | BCBSM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 750020 (Michigan) | Primary |
Three Rivers Health Family Care White Pigeon Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 601 E Chicago Rd, White Pigeon, MI 49099 Phone: 269-483-7624 Fax: 269-483-7905 |