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NPI Code Detail

MEDICARE: TRIHEALTH U LLC

MEDICARE: TRIHEALTH U LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1305S00000XPoint of Service
2261QC1500XCommunity Health Clinic/Center

General Provider Information

NPI Number : 1528605177
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRIHEALTH U LLC
Provider Business Mailing Address
First Line : 4685 FOREST AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45212-3397
Country : US
Telephone Number : 513-853-4722
Fax Number : 513-852-8525
Provider Business Practice Location Address
First Line : 4605 MONTGOMERY RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45212-2607
Country : US
Telephone Number : 135-853-9700
Fax Number :
Authorized Official
Title or Position : VP FINANCE
Name : MICHAEL CROFTON
Credential :
Telephone Number : 513-569-6577
Provider Enumeration Date : 12/03/2019
Last Update Date : 01/06/2020

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Directions to “TRIHEALTH U LLC ” Practice Location

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