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 |