Three Rivers Health Nutritional Services

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

750020 Issued in MI

Legal business name

THREE RIVERS HEALTH NUTRITIONAL SERVICES

Practice address

701 S Health Pkwy
Three Rivers, MI 49093-8352

Phone

(269) 278-1145

Fax

(269) 273-9611

NPI assigned

Dec 24, 2009

Last updated

Dec 24, 2009By the provider in NPPES

Organization subpart

Yes

Parent organization

THREE RIVERS HEALTHAs reported in NPPES

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

Authorized official

Name

William Russell

Title

Ceo/President

Phone

(269) 273-9601

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Three Rivers Area Hospital Hospice3 organizations share this tax ID, including this one

Part of

Three Rivers Area Hospital Hospice

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Three Rivers Area Health Authority

  • Anesthesiology Physician
  • Three Rivers, MI
  • NPI 1760586309
  NPD tax ID
• Three Rivers Health

  dba Three Rivers Health Internal Medicine II

  • Internal Medicine Physician
  • Three Rivers, MI
  • NPI 1902081631
  NPD tax ID

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.

• Brian K Dees, MD

  • Surgery Physician
  • Fargo, ND
  • NPI 1255363693
  NPD (past)

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

{
    "created_epoch": "1261612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261612800000",
    "number": "1205165115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 S HEALTH PKWY",
            "city": "THREE RIVERS",
            "state": "MI",
            "postal_code": "490938352",
            "telephone_number": "269-278-1145",
            "fax_number": "269-273-9611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 S HEALTH PKWY",
            "city": "THREE RIVERS",
            "state": "MI",
            "postal_code": "490938352",
            "telephone_number": "269-278-1145",
            "fax_number": "269-273-9611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE RIVERS HEALTH NUTRITIONAL SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THREE RIVERS HEALTH",
        "enumeration_date": "2009-12-24",
        "last_updated": "2009-12-24",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "269-273-9601"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MI",
            "license": "750020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PIN",
            "identifier": "0N99470",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Three Rivers Health Authority (Three Rivers Health)
• Three Rivers Health Authority (Veera J. Patel, MD - Internal Medicine)
• Three Rivers Health Authority (Three Rivers Health Homecare)
• Three Rivers Health Authority
• Three Rivers Health Endocrinology
• Three Rivers Health System Inc (Three Rivers Health Endocrinology)
• Three Rivers Health System Inc (Family Wellness of Three Rivers)
• Three Rivers Health System, Inc (Three Rivers Health Family Care Three Rivers)
• Three Rivers Health System, Inc (Three Rivers Health Family, Internal Medicine and Womens Services)
• Three Rivers Health System, Inc (Andrzej and Anna Chebes, MD - Internal Medicine)

• Registered Dietitian in Three Rivers, MI
• Providers in Three Rivers, MI by specialty
• Registered Dietitian in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2009; 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.