| NPI | 1063784247 |
|---|---|
| Doing Business As | THREE RIVERS HEALTH SURGICAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | JEFFERY COSTELLO CFO 574-647-3460 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208600000X Surgery |
| Enumeration Date | 2012-02-02 |
| Last Update Date | 2023-12-04 |