THREE RIVERS HEALTH FAMILY CARE CENTREVILLE
NPI 1508840596
Clinic/Center - Rural Health in Centreville, MI
NPI Status: Active since December 02, 2005
Contact Information
677 E MAIN ST STE B
CENTREVILLE, MI
ZIP 49032
Phone: (269) 467-9011
Fax: (269) 467-9511
- Organization
- Clinic/Center
- Rural Health
- CLIA Number: 23D1041799
- CLIA Cert. Type: Ambulance
- CLIA Exp. Date: 06-12-2027
About THREE RIVERS HEALTH FAMILY CARE CENTREVILLE
This page provides the complete NPI Profile along with additional information for Three Rivers Health Family Care Centreville, a primary care provider established in Centreville, Michigan operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1508840596 assigned on December 2005. The practitioner's primary taxonomy code is 261QR1300X with license number 750020 (MI). The provider is registered as an organization and their NPI record was last updated 12 years ago. The provider's is doing business as Three Rivers Health Family Care Centreville. The authorized official of this NPI record is William Russell (Ceo/president)
- NPI
- 1508840596
- Provider Legal Name
- THREE RIVERS HEALTH AUTHORITY
- Other Organization Name
- THREE RIVERS HEALTH FAMILY CARE CENTREVILLE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 677 E MAIN ST STE B CENTREVILLE, MI 49032
- Location Phone
- (269) 467-9011
- Location Fax
- (269) 467-9511
- Mailing Address
- 701 S HEALTH PKWY MEDICAL STAFF OFFICE THREE RIVERS, MI 49093
- Mailing Phone
- (269) 273-9789
- Mailing Fax
- (269) 467-9511
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 12-02-2005
- Last Update Date
- 04-04-2013
- Code Navigator
A primary care provider (PCP) like Three Rivers Health Family Care Centreville sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Rural Health
- Taxonomy Code
- 261QR1300X
- Type
- Ambulatory Health Care Facilities
- License No.
- 750020
- License State
- MI
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 700G560080 | OTHER (01) | MI | BCBSM |
| 238511 | MEDICARE ID-TYPE UNSPECIFIED (04) | MI |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 23D1041799
- Facility Type
- Ambulance
- Certificate Effective Date
- June 13, 2025
- Certificate Expiration Date
- June 12, 2027
- Laboratory Director
- PAUL SCHOON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Three Rivers Health Family Care Centreville to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 0 | 8 | 8 | 4 | 0 | 5 | 9 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 0 | 8 | 16 | 4 | 0 | 5 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 0 + 8 + 1 + 6 + 4 + 0 + 5 + 1 + 8 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1508840596 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1912989021 | LINDA SUE EVANS M.D. Individual | Pediatrics | 677 E MAIN ST STE B CENTREVILLE, MI 49032 (269) 467-9011 |
| 1205108586 | THREE RIVERS HEALTH SYSTEM, INC Organization | Clinic/Center (Rural Health) | 677 E MAIN ST STE B CENTREVILLE, MI 49032 (269) 467-9011 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1508840596, enumerated in the NPI registry as an "organization" on December 02, 2005
The provider is located at 677 E Main St Ste B Centreville, Mi 49032 and the phone number is (269) 467-9011
This medical organization specializes in Clinic/Center with taxonomy code 261QR1300X with a focus in Rural Health
The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 23D1041799 for a "ambulance" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on December 02, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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