Three Rivers Health System, INC

NPI #1942669296 in Portage, Michigan

Provider Information

NPI Number: 1942669296
Entity Type: Organization
Organization Name: Three Rivers Health System, INC
Subpart: Yes (part of a larger organization)
Parent Organization: THREE RIVERS HEALTH SYSTEM, INC
Primary Specialty: Otolaryngology
Enumeration Date: Feb 15, 2016
Last Updated: Jul 22, 2024

Practice Location

Address: 3850 GLENKERRY CT
City: Portage
State: Michigan
ZIP Code: 49024-0700
Phone: (269) 327-7200

Authorized Official

Name: JEFFERY COSTELLO
Title: CFO
Phone: (574) 647-3460

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology - Otolaryngology/Facial Plastic Surgery — Otolaryngology/Facial Plastic Surgery	207YX0905X
Otolaryngology	207Y00000X	Primary

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