Healthcare Provider Details

I. General information

NPI: 1174924872
Provider Name (Legal Business Name): TRIHEALTH HF LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2014
Last Update Date: 09/02/2025
Certification Date: 06/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

421 S CAMPUS AVE
OXFORD OH
45056-2487
US

IV. Provider business mailing address

PO BOX 636962
CINCINNATI OH
45263-6962
US

V. Phone/Fax

Practice location:
  • Phone: 513-529-3000
  • Fax: 513-529-1892
Mailing address:
  • Phone: 513-529-3000
  • Fax: 513-529-1892

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL CROFTON
Title or Position: VP, FINANCE
Credential:
Phone: 513-569-6577