1003997966 NPI number — TRINITY HOSPITAL HOLDING COMPANY

Table of content: (NPI 1003997966)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1003997966 NPI number — TRINITY HOSPITAL HOLDING COMPANY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TRINITY HOSPITAL HOLDING COMPANY
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1003997966
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/12/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4000 JOHNSON RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
STEUBENVILLE
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
43952-2364
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
740-264-8110
Provider Business Mailing Address Fax Number:
740-264-8108

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
ONE ROSS PARK, SUITE G
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
STEUBENVILLE
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43952-2667
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
740-283-7507
Provider Business Practice Location Address Fax Number:
740-283-7518
Provider Enumeration Date:
10/18/2006

Additional Information

Authorized Official

Authorized Official Last Name:
WERKIN
Authorized Official First Name:
DAVID
Authorized Official Middle Name:
A
Authorized Official Title or Position:
CFO/VP OF FINANCE
Authorized Official Telephone Number:
740-264-8695

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0314458 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com