Healthcare Provider Details

I. General information

NPI: 1588045611
Provider Name (Legal Business Name): TRIHEALTH OS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2015
Last Update Date: 06/15/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 OFFICE PARK DR STE. A
HAMILTON OH
45013-1585
US

IV. Provider business mailing address

PO BOX 637783
CINCINNATI OH
45263-7783
US

V. Phone/Fax

Practice location:
  • Phone: 513-524-1100
  • Fax: 513-856-5942
Mailing address:
  • Phone: 513-853-4749
  • Fax: 513-853-4740

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. CONNIE AYLWARD
Title or Position: PHYSICIAN COMPLIANCE OFFICER
Credential:
Phone: 513-569-6302