THREE RIVERS HEALTH FAMILY CARE MARCELLUS – NPI #1245668383
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

THREE RIVERS HEALTH FAMILY CARE MARCELLUS is a provider located in MARCELLUS, MI. NPPES has assigned the NPI number 1245668383 to THREE RIVERS HEALTH FAMILY CARE MARCELLUS on October 29, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “THREE RIVERS HEALTH FAMILY CARE MARCELLUS” is a dba name, the actual legal business name for this organization is THREE RIVERS HEALTH SYSTEM, INC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 3 years ago on Sep 27, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for THREE RIVERS HEALTH FAMILY CARE MARCELLUS below.

NPI Profile for
THREE RIVERS HEALTH SYSTEM, INC

NPI Number
1245668383
Enumeration Date

(more than 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
THREE RIVERS HEALTH SYSTEM, INC
Doing Business As (dba): THREE RIVERS HEALTH FAMILY CARE MARCELLUS
Primary location
110 E MAIN ST
MARCELLUS, MI 49067
Phone: (269) 646-0443 Fax: (269) 646-0447
Mailing address
3245 HEALTH DR STE 100
GRANGER, IN 46530-1380
Phone: Fax:
Organization Subpart
Yes - THREE RIVERS HEALTH FAMILY CARE MARCELLUS is subpart of another organization.
Authorized Official
JEFFERY COSTELLO
CFO
Phone: (574) 647-3460
Updated
Certification Date
Sep 27, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for THREE RIVERS HEALTH FAMILY CARE MARCELLUS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidMI1245668383
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
261QP2300X
- Clinic/Center / Primary Care

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.