THREE RIVERS HEALTH SYSTEM INC NPI 1376196691

NPI Information

NPI: 1376196691
Provider Name: THREE RIVERS HEALTH SYSTEM, INC

Doing Business As: THREE RIVERS HEALTH MS PAWS

Classification: Social Worker - 1041S0200X
Entity Type: Organization

Specialization: School

Address:
1101 JEFFERSON ST
THREE RIVERS, MI
ZIP 49093
Phone: (269) 279-1130
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THREE RIVERS HEALTH SYSTEM, INC is a school social worker in Three Rivers, MI. THREE RIVERS HEALTH SYSTEM, INC NPI is 1376196691. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Three Rivers Health Ms Paws.

The provider's business location address is:

1101 JEFFERSON ST
THREE RIVERS, MI
ZIP 49093-024
Phone: (269) 279-1130
Fax: (269) 273-1139

The provider's authorized official is Jeffery Costello .
The authorized official title is Cfo, Chief Financial Officer and has the following contact phone number (574) 647-3460.

The enumeration date for this NPI number is 7/17/2019 and was last updated on 9/22/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1041S0200X	Social Worker	School			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1376196691	MEDICAID	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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