| NPI | 1821631334 |
|---|---|
| Doing Business As | THREE RIVERS HEALTH IMED |
| Entity Type | Organization |
| Authorized Contact | JEFFERY COSTELLO CFO 574-647-3460 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 261QX0100X Clinic/Center, Occupational Medicine |
| Enumeration Date | 2019-10-28 |
| Last Update Date | 2023-10-24 |