Organization Active NPI

Three Rivers, Inc.

  • Case Management Agency
  • Wamego, KS
National Provider Identifier
1093851206
Registry record updated Jul 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
100020570C Issued in KS
Legal business name
THREE RIVERS, INC.
Practice address
408 Lincoln Ave.
Wamego, KS 66547-1632
Phone
(785) 456-9915
Fax
(785) 456-1419
NPI assigned
Jan 29, 2007
Last updated
Jul 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Audrey Schremmer - Philips
Title
Executive Director
Phone
(785) 456-9915

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 100020570C KS Primary

Addresses

Primary practice location

408 Lincoln Ave.
Wamego, KS 66547-1632

Mailing address

P.O. Box 408
408 Lincoln Ave.
Wamego, KS 66547-1632
Phone (785) 456-9915

Other identifiers 2

IdentifierTypeStateIssuer
100020570CMedicaidKS
100020570AMedicaidKS

National Provider Directory

National Provider Directory

Locations

408 Lincoln Ave
Wamego, KS 66547
Phone (785) 456-9915

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1093851206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 408",
            "address_2": "408 LINCOLN AVE.",
            "city": "WAMEGO",
            "state": "KS",
            "postal_code": "665471632",
            "telephone_number": "785-456-9915",
            "fax_number": "785-456-1419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 LINCOLN AVE.",
            "city": "WAMEGO",
            "state": "KS",
            "postal_code": "665471632",
            "telephone_number": "785-456-9915",
            "fax_number": "785-456-1419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE RIVERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "SCHREMMER - PHILIPS",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "785-456-9915",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "KS",
            "license": "100020570C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100020570C",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100020570A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wamego, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.