| Organization Name: | THREE RIVERS HEALTH SYSTEM, INC |
| NPI Number: | 1366714552 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WILLIAM RUSSELL (CEO/PRESIDENT) |
| Mailing Address: | 633 S Erie St Three Rivers |
| State: | MI US |
| Postal Code: | 490932073 |
| Phone Number: | 2692786108 |
| Fax Number: | 2692734316 |
| NPI Enumeration Date: | 02/02/2012 |
| NPI Last Update Date: | 03/28/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 750020 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |