Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Three Rivers Health System, Inc

Organization Otolaryngology Physician · NPI 1942669296

Three Rivers Health System, Inc is an Otolaryngology Physician in Portage, Michigan. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3850 Glenkerry Ct
Portage, MI 49024-0700
Phone: (269) 327-7200
Fax: (269) 327-9272
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X
Otolaryngology/Facial Plastic Surgery Physician Taxonomy 207YX0905X

Record details

NPI number1942669296
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationThree Rivers Health System, Inc
Authorized official Jeffery Costello — Cfo · (574) 647-3460
Other names West Michigan Ear, Nose And Throat; West Michigan Ear, Nose And Throat
NPI enumeratedFebruary 15, 2016
Last updated in NPPESJuly 22, 2024
Certification dateJuly 22, 2024
Mailing address3245 Health Dr Ste 100, Granger, IN 46530-1380

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