Active NPI
Three Rivers Health
Doing business as Three Rivers Health Schimnoski Family Practice
- Adult Medicine Physician
- Three Rivers, MI
National Provider Identifier
1396720579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- 750020
- Legal business name
- THREE RIVERS HEALTH
- Doing business as
- Three Rivers Health Schimnoski Family Practice
- Practice address
- 711 S Health Pkwy
Suite 4
Three Rivers, MI 49093-9387 - Phone
- (269) 278-1265
- Fax
- (269) 273-2454
- NPI assigned
- Dec 12, 2005
- Last updated
- Jan 24, 2012
- Organization subpart
- Yes
- Parent organization
- THREE RIVERS HEALTH
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William Russell
- Title
- Practice Management
- Phone
- (269) 273-9601
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | 750020 | MI | Primary |
Addresses
Primary practice location
711 S Health Pkwy
Suite 4
Three Rivers, MI 49093-9387
Mailing address
701 S Health Pkwy
Medical Staff Office
Three Rivers, MI 49093-8352
Phone (269) 273-9789
Other names 1
- Three Rivers Health Schimnoski Family Practice
National Provider Directory
National Provider Directory- Part of
- Three Rivers Area Hospital Hospice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134345600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1327363200000",
"number": "1396720579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 S HEALTH PKWY",
"address_2": "MEDICAL STAFF OFFICE",
"city": "THREE RIVERS",
"state": "MI",
"postal_code": "490938352",
"telephone_number": "269-273-9789",
"fax_number": "269-273-9611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 S HEALTH PKWY",
"address_2": "SUITE 4",
"city": "THREE RIVERS",
"state": "MI",
"postal_code": "490939387",
"telephone_number": "269-278-1265",
"fax_number": "269-273-2454"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THREE RIVERS HEALTH",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "THREE RIVERS HEALTH",
"enumeration_date": "2005-12-12",
"last_updated": "2012-01-24",
"status": "A",
"authorized_official_last_name": "RUSSELL",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "PRACTICE MANAGEMENT",
"authorized_official_telephone_number": "269-273-9601"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "MI",
"license": "750020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Three Rivers Health Schimnoski Family Practice",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Three Rivers, MI
- Three Rivers Family Medicine, PLLC
- Three Rivers Health (Three Rivers Health Sleep Clinic)
- Three Rivers Health (Three Rivers Health Women's Services)
- Three Rivers Health (Three Rivers Health Internal Medicine)
- Three Rivers Health (Three Rivers Health Occupational Medicine)
- Three Rivers Health (Three Rivers Bone and Joint)
- Three Rivers Health (Three Rivers Health Family, Internal Medicine and Women Services)
- Three Rivers Health (Andrzej and Anna Chebes, M.D. - Internal Medicine)
- Three Rivers Health (Three Rivers Health Pediatrics)
- Three Rivers Health (Three Rivers Health Internal Medicine II)
Sources for this page
- 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.