=====================================================
General NPI Number Information
=====================================================
NPI Number | 1003997966
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | TRINITY HOSPITAL HOLDING COMPANY
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/18/2006
-----------------------------------------------------
Last Update Date | 09/02/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 380 SUMMIT AVE
-----------------------------------------------------
City | STEUBENVILLE
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43952
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 740-264-8110
-----------------------------------------------------
Fax | 740-264-8108
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 380 SUMMIT AVE
-----------------------------------------------------
City | STEUBENVILLE
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43952-2667
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 740-264-8110
-----------------------------------------------------
Fax | 740-264-8108
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CFO/VP OF FINANCE
-----------------------------------------------------
Name | MR. DAVID A WERKIN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 740-264-8695
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------