Three Rivers Health System, Inc
Organization Active NPI Urgent Care Clinic/Center · Three Rivers, MI
NPI 1821631334 · NPPES record last updated Mar 22, 2026
Key facts
- NPI
- 1821631334
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urgent Care Clinic/Center 261QU0200X
- Legal business name
- THREE RIVERS HEALTH SYSTEM, INC
- Practice address
- 16587 Enterprise Dr
Three Rivers, MI 49093-7902 - Phone
- (269) 279-6700
- Fax
- (269) 279-9612
- NPI assigned
- Oct 28, 2019
- Organization subpart
- Yes
- Parent organization (as reported)
- THREE RIVERS HEALTH SYSTEM, INC
Authorized official
- Name
- Jeffery Costello
- Title
- Cfo
- Phone
- (574) 647-3460
Parent organization (reported in NPPES) 1
Other NPIs on the same Medicare enrollment 23
Practitioners 7
-
Sean J Crabtree, PA
-
Sandra Lynn Pratt, RN, MSN, FNP-BC
-
Steven J Cowing, PA-C
-
Steven Michael Squires, PA-C
-
Vivian U Onunkwo, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140729001948 | MI | Part B Supplier - Clinic/Group Practice | 8729245584 |
Receives reassigned benefits from 71 practitioners 23 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Portage, MI; Three Rivers, MI; White Pigeon, MI |
National Provider Directory
- Part of
- Three Rivers Health System Inc
Locations
16587 Enterprise Dr
Unit 3
Three Rivers, MI 49093
Phone (269) 279-6700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician |
207X00000X | |||
| Urgent Care Clinic/Center | 261QU0200X | Yes | ||
| Occupational Medicine Clinic/Center | 261QX0100X | |||
| Family Nurse Practitioner |
363LF0000X |
Addresses
Primary practice location
16587 Enterprise Dr
Three Rivers, MI 49093-7902
Mailing address
3245 Health Dr Ste 100
Granger, IN 46530-1380
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821631334 | Medicaid | MI |
Other names
- Three Rivers Health IMED
Other providers in Three Rivers, MI
- Three Rivers Health System, Inc
- Three Rivers Health System, Inc
- Three Rivers Health System, Inc
- Three Rivers Health System, Inc
- Three Rivers Health System, Inc
- Three Rivers Health System, Inc
- Three Rivers Health System, Inc
- Three Rivers Health System, Inc
- Three Rivers Health System, Inc
- Three Rivers Health-Urgent Care
All providers in Three Rivers, MI · Urgent Care Clinic/Center in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 22, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.