Three Rivers Health

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

750020 Issued in MI

Legal business name

THREE RIVERS HEALTH

Practice address

711 S Health Pkwy
Suite 1
Three Rivers, MI 49093-9387

Phone

(269) 273-6400

Fax

(269) 273-9639

NPI assigned

Dec 7, 2005

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

Chief Executive Officer

Phone

(269) 273-9601

Specialties & licenses 1

Addresses

Other names 1

• Three Rivers Health Women's Services Doing business as

Part of

Three Rivers Health Anesthesia

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327363200000",
    "number": "1316922909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 S HEALTH PKWY",
            "address_2": "SUITE L-7",
            "city": "THREE RIVERS",
            "state": "MI",
            "postal_code": "490939387",
            "telephone_number": "269-273-6400",
            "fax_number": "269-273-9639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 S HEALTH PKWY",
            "address_2": "SUITE 1",
            "city": "THREE RIVERS",
            "state": "MI",
            "postal_code": "490939387",
            "telephone_number": "269-273-6400",
            "fax_number": "269-273-9639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE RIVERS HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THREE RIVERS HEALTH",
        "enumeration_date": "2005-12-07",
        "last_updated": "2012-01-24",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "269-273-9601"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "750020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Three Rivers Health Women's Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Three Rivers Area Medical Associates PC
• Three Rivers Emergency Physicians PLLC
• Three Rivers Eyecare PC
• Three Rivers Family Medicine, PLLC
• Three Rivers Health
• Three Rivers Health
• Three Rivers Health
• Three Rivers Health
• Three Rivers Health
• Three Rivers Health

• Obstetrics & Gynecology Physician in Three Rivers, MI
• Providers in Three Rivers, MI by specialty
• Obstetrics & Gynecology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2012; 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.