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Organization
TRIHEALTH G LLC
Active
Organization
TRIHEALTH G LLC
Active
Parent organization
TRIHEALTH G LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRIHEALTH G LLC
Authorized official
MICHAEL CROFTON (VICE PRESIDENT FINANCE)
(513) 569-6577
Entity
Organization
Contact information
Practice address
375 DIXMYTH AVE, CINCINNATI, OH 45220-2475
(513) 862-2563
(513) 751-8638
Mailing address
4685 FOREST AVE, CINCINNATI, OH 45212-3397
(513) 853-4684
(513) 852-8525
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LW0102X
Women's Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2565399
—
OH
Enumeration date
11/04/2011
Last updated
01/05/2021
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