THREE RIVERS HEALTH SYSTEM INC NPI 1124390307

NPI Information

  • NPI: 1124390307
  • Provider Name: THREE RIVERS HEALTH SYSTEM, INC
  • Classification: Orthopaedic Surgery - 207X00000X
  • Entity Type: Organization
  • Doing Business As: THREE RIVERS HEALTH ORTHOPEDICS
  • Address: 1021 HILL ST STE 300
    THREE RIVERS, MI
    ZIP 49093
  • Phone: (269) 858-3024

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NPI Details

THREE RIVERS HEALTH SYSTEM, INC is an orthopaedic surgery in Three Rivers, MI. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. THREE RIVERS HEALTH SYSTEM, INC NPI is 1124390307. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Three Rivers Health Orthopedics.

The provider's business location address is:

1021 HILL ST STE 300
THREE RIVERS, MI
ZIP 49093-744
Phone: (269) 858-3024
Fax: (269) 273-9040

The provider's authorized official is Jeffery Costello .
The authorized official title is Cfo / Chief Financial Officer and has the following contact phone number (574) 647-3460.

The enumeration date for this NPI number is 2/2/2012 and was last updated on 7/22/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207X00000XOrthopaedic SurgeryYes
2207XS0114XOrthopaedic SurgeryAdult Reconstructive Orthopaedic SurgeryNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11124390307MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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