Organization Active NPI

Three Rivers Family Medicine, PLLC

  • Clinic/Center
  • Three Rivers, MI
National Provider Identifier
1447571625
Registry record updated Jan 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
4301095827 Issued in MI
Legal business name
THREE RIVERS FAMILY MEDICINE, PLLC
Practice address
721 S Health Pkwy
Three Rivers, MI 49093-8352
Phone
(269) 273-3700
Fax
(269) 273-3773
NPI assigned
Jun 22, 2010
Last updated
Jan 11, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2011

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

Authorized official

Name
Dr. Emily-Rae Reed Singh, M.D.
Title
Manager
Phone
(269) 273-3700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 4301095827 MI Primary

Addresses

Primary practice location

721 S Health Pkwy
Three Rivers, MI 49093-8352

Mailing address

721 S Health Pkwy
Three Rivers, MI 49093-8352
Phone (269) 273-3700

Other identifiers 3

IdentifierTypeStateIssuer
0750123OtherMIBCBSM
1447571625MedicaidMI
4301095827OtherMISTATE LICENSE

National Provider Directory

National Provider Directory

Locations

721 S Health Parkway
Three Rivers, MI 49093
Phone (269) 273-3700

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FBEACA

NPI Registry JSON

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

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294704000000",
    "number": "1447571625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 S HEALTH PKWY",
            "city": "THREE RIVERS",
            "state": "MI",
            "postal_code": "490938352",
            "telephone_number": "269-273-3700",
            "fax_number": "269-273-3773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 S HEALTH PKWY",
            "city": "THREE RIVERS",
            "state": "MI",
            "postal_code": "490938352",
            "telephone_number": "269-273-3700",
            "fax_number": "269-273-3773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE RIVERS FAMILY MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-22",
        "last_updated": "2011-01-11",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "EMILY-RAE",
        "authorized_official_middle_name": "REED",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "269-273-3700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MI",
            "license": "4301095827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0750123",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1447571625",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "4301095827",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jan 11, 2011; 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.