Organization Active NPI

Three Rivers Health

Doing business as Three Rivers Health Occupational Medicine

  • Occupational Medicine Clinic/Center
  • Three Rivers, MI
National Provider Identifier
1356696538
Registry record updated Jul 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
License
750020 Issued in MI
Legal business name
THREE RIVERS HEALTH
Doing business as
Three Rivers Health Occupational Medicine
Practice address
711 S Health Pkwy
Suite 3
Three Rivers, MI 49093-9387
Phone
(269) 273-9687
Fax
(269) 279-6461
NPI assigned
Jul 13, 2012
Organization subpart
Yes
Parent organization
THREE RIVERS HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 13, 2012

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

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Clinic/Center 261QX0100X 750020 MI Primary

Addresses

Primary practice location

711 S Health Pkwy
Suite 3
Three Rivers, MI 49093-9387

Mailing address

711 S Health Pkwy
L-7
Three Rivers, MI 49093-9387
Phone (269) 273-9687

Other names 1

  • Three Rivers Health Occupational Medicine Doing business as

National Provider Directory

National Provider Directory
Part of
Three Rivers Area Hospi

Locations

677 E Main St
#Three
Centreville, MI 49032
Phone (269) 467-9011

701 S Health Parkway
Slp Lab
Three Rivers, MI 49093
Phone (269) 273-9816

222 S Main St
Three Rivers, MI 49093
Phone (269) 278-6108

1121 W Broadway St
Three Rivers, MI 49093
Phone (616) 273-8471

NPI Registry JSON

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

{
    "created_epoch": "1342137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342137600000",
    "number": "1356696538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 S HEALTH PKWY",
            "address_2": "L-7",
            "city": "THREE RIVERS",
            "state": "MI",
            "postal_code": "490939387",
            "telephone_number": "269-273-9687",
            "fax_number": "269-279-6461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 S HEALTH PKWY",
            "address_2": "SUITE 3",
            "city": "THREE RIVERS",
            "state": "MI",
            "postal_code": "490939387",
            "telephone_number": "269-273-9687",
            "fax_number": "269-279-6461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE RIVERS HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THREE RIVERS HEALTH",
        "enumeration_date": "2012-07-13",
        "last_updated": "2012-07-13",
        "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": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "MI",
            "license": "750020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Three Rivers Health Occupational Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Three Rivers, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.