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General NPI Number Information
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NPI Number | 1417862806
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Entity Type | Organization
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Legal Business Name | TRI-COUNTY RURAL HEALTH SERVICES
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Dates
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Enumeration Date | 08/18/2026
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Last Update Date | 08/18/2026
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Provider Practice Location Address
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Address Line | 7 W OAK ST NE
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City | SAND LAKE
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State | MI
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Zip | 49343
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Country | US
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Telephone | 616-439-0222
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 319
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City | SAND LAKE
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State | MI
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Zip | 49343-0319
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Country | US
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Telephone | 616-439-0222
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN OWNER
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Name | DR. JEROD GARDNER
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Credential | DO
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Telephone | 517-927-8609
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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