| Organization Name: | THREE RIVERS HEALTH SYSTEM, INC |
| NPI Number: | 1245668383 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WILLIAM RUSSELL (CEO) |
| Mailing Address: | 110 E Main St Marcellus |
| State: | MI US |
| Postal Code: | 490675102 |
| Phone Number: | 2696460443 |
| Fax Number: | 2696460447 |
| NPI Enumeration Date: | 10/29/2013 |
| NPI Last Update Date: | 10/29/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | 750050 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |