| NPI | 1093113151 |
|---|---|
| Doing Business As | THREE RIVERS HEALTH - PRIMARY CARE ONE |
| Entity Type | Organization |
| Authorized Contact | WILLIAM RUSSELL CEO 269-273-9601 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2014-12-05 |
| Last Update Date | 2021-08-23 |