Healthcare Provider Details

I. General information

NPI: 1427040559
Provider Name (Legal Business Name): CITY OF THREE RIVERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2005
Last Update Date: 03/20/2025
Certification Date: 03/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 W MICHIGAN AVE
THREE RIVERS MI
49093-2124
US

IV. Provider business mailing address

333 W MICHIGAN AVE
THREE RIVERS MI
49093-2124
US

V. Phone/Fax

Practice location:
  • Phone: 269-278-3755
  • Fax: 844-520-5968
Mailing address:
  • Phone: 269-278-3755
  • Fax: 844-520-5968

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: PAUL SCHOON
Title or Position: FIRE CHIEF
Credential:
Phone: 269-278-3755