1275515488 NPI number — TRIHEALTH HF LLC

Table of content: (NPI 1275515488)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1275515488 NPI number — TRIHEALTH HF LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TRIHEALTH HF LLC
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:
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:
1275515488
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/02/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4700 SMITH RD
Provider Second Line Business Mailing Address:
SUITE A
Provider Business Mailing Address City Name:
CINCINNATI
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
45212-2787
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
513-619-6885
Provider Business Mailing Address Fax Number:
513-533-6001

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6825 WOOSTER PIKE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CINCINNATI
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45227-4328
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
513-272-0250
Provider Business Practice Location Address Fax Number:
513-272-1728
Provider Enumeration Date:
11/15/2005

Additional Information

Authorized Official

Authorized Official Last Name:
LEHENBAUER
Authorized Official First Name:
MARTIN
Authorized Official Middle Name:
P
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
513-398-3445

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 2460448 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".




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