| NPI | 1790144079 |
|---|---|
| Doing Business As | THREE RIVERS HEALTH CENTER FOR FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | JEFFERY COSTELLO CFO 574-647-3460 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2016-02-16 |
| Last Update Date | 2023-09-18 |