| Organization Name: | THREE RIVERS MEDICAL CLINICS INC |
| NPI Number: | 1699038737 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SOPHIA L ARWOOD (AUTHORIZED OFFICIAL) |
| Mailing Address: | 94 Boardwalk Suite 1 Inez |
| State: | KY US |
| Postal Code: | 412247003 |
| Phone Number: | 6062982660 |
| Fax Number: | 6062982662 |
| NPI Enumeration Date: | 06/22/2012 |
| NPI Last Update Date: | 03/07/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |