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Tri-rivers Healthcare Pllc

Tri-rivers Healthcare Pllc is a health care provider in Salem, KY. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 141 Hospital Dr, Salem, KY 42078-8043, US
Practice Location Phone270-988-3298
Practice Location Fax270-988-4642
Legal Business NameTRI-RIVERS HEALTHCARE PLLC
Other Organization NameSALEM MEDICAL CLINIC
Other Organization Name TypeDoing Business As Name
NPI ?1588644496
Entity TypeOrganization
Enumeration Date ? Jan 18, 2006
Last Update Date ? Jul 12, 2016
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Tri-rivers Healthcare Pllc

SpecialtySpecializationLicenseLicense State
Internal Medicine
Surgery
General Practice
Clinic/CenterRural Health 900216Kentucky
Nurse PractitionerFamily
Physician AssistantMedical

legacy-id-icon Legacy Provider IDs of Tri-rivers Healthcare Pllc

Provider IdIssuer StateIssuer TypeIssuer
6590103500KentuckyMedicaid
7890094100KentuckyMedicaid
7100091640KentuckyMedicaid

official-icon Authorized Official of Tri-rivers Healthcare Pllc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Tri-rivers Healthcare Pllc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Mr. Michael Albin Heneisen
Authorized Official Title/PositionAGENT
Authorized Official Phone Number270-988-3298