THREE RIVERS HEALTH - PRIMARY CARE ONE
NPI 1093113151
Family Medicine in Three Rivers, MI

Active since December 05, 2014CLIA 23D0920346 · Waiver
850 S HEALTH PKWY, THREE RIVERS, MI 49093(269) 279-5240(269) 273-9060 Get Directions Write a Review

NPPES record last updated: August 23, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Three Rivers Health - Primary Care One NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THREE RIVERS HEALTH - PRIMARY CARE ONE (NPI 1093113151) is a healthcare organization registered as a family medicine in Three Rivers, Michigan and active in the NPI registry since December 2014. The organization holds a CLIA Waiver certificate valid through February 29, 2028 and lists William Russell, Ceo, as its authorized official.

NPPES Registry Identity

NPI1093113151
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTHREE RIVERS HEALTH SYSTEM, INC
Location Address850 S HEALTH PKWYThree Rivers, MI 49093-8358
Mailing Address701 S Health Pkwy, Medical Staff OfficeThree Rivers, MI 49093-8352 · (269) 273-9789 · Fax (269) 273-9611
Fax(269) 273-9060
Organization SubpartYes
Authorized OfficialWilliam RussellCeo · (269) 273-9601
Enumeration DateDecember 5, 2014
Last NPPES UpdateAugust 23, 2021
NPPES CertifiedAugust 23, 2021
NPI 1093113151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
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.
850 S HEALTH PKWY, Three Rivers, MI 49093

Other Names 1

Doing Business AsThree Rivers Health - Primary Care One

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D0920346

Three Rivers Health For Family Medicine · Three Rivers, MI
Active · expires Feb 29, 2028
CLIA Number23D0920346
Laboratory TypeRural Health Clinic
Certificate Effective DateMarch 1, 2026
Certificate Expiration DateFebruary 29, 2028
Laboratory DirectorAlyssa Rumsey
Laboratory Phone(269) 279-5240
Laboratory LocationThree Rivers Health For Family Medicine850 S Health Parkway, Three Rivers, MI 49093
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
850 S HEALTH PKWY
THREE RIVERS, MI 49093
Physician Assistant
850 S HEALTH PKWY
THREE RIVERS, MI 49093
Internal Medicine
850 S HEALTH PKWY
THREE RIVERS, MI 49093

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Three Rivers Health System, Inc's NPI number?

The NPI number for Three Rivers Health System, Inc is 1093113151. It was assigned to this organization in the NPPES registry on December 5, 2014. The provider is doing business as Three Rivers Health - Primary Care One.

Where is Three Rivers Health System, Inc located?

Three Rivers Health System, Inc is located at 850 S Health Pkwy, Three Rivers, MI 49093. The listed phone number is (269) 279-5240.

What is Three Rivers Health System, Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Three Rivers Health System, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0920346) is associated with this NPI, valid through February 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Three Rivers Health System, Inc was last updated on August 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.