Tri-Rivers Healthcare, Pllc

NPI #1649592304 in Salem, Kentucky

Provider Information

NPI Number: 1649592304
Entity Type: Organization
Organization Name: Tri-Rivers Healthcare, Pllc
Primary Specialty: Surgery
Enumeration Date: Feb 23, 2010
Last Updated: Apr 17, 2023

Practice Location

Address: 141 HOSPITAL DR STE 103
City: Salem
State: Kentucky
ZIP Code: 42078-8043
Phone: (270) 988-3298

Authorized Official

Name: MR. MICHAEL A HENEISEN
Title: AGENT / BUSINESS MANAGER
Phone: (270) 988-3298

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X
Family Medicine	207Q00000X
Internal Medicine	207R00000X
Obstetrics & Gynecology - Gynecology — Gynecology	207VG0400X
General Practice	208D00000X
Physician Assistant	363A00000X
Nurse Practitioner - Family — Family	363LF0000X
Surgery	208600000X	Primary

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