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Organization

TRIHEALTH G LLC

Active
Parent organization
TRIHEALTH G LLC
Other names
Group Health
Organization subpart
Yes

Provider details

NPI number
Legal business name
TRIHEALTH G LLC
Authorized official
DONNA NIENABER (SR VP CORPORATE COUNSEL)
(513) 569-6062
Entity
Organization

Contact information

Practice address
6200 PFEIFFER RD, STE 315, MONTGOMERY, OH 45242-5862
(513) 862-4957
(513) 862-4952
Mailing address
4685 FOREST AVE STE C, CINCINNATI, OH 45212-3359
(513) 246-7796
(513) 852-8525

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
207N00000X
Dermatology Physician
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
207RG0100X
Gastroenterology Physician
207RI0200X
Infectious Disease Physician
207RP1001X
Pulmonary Disease Physician
207RR0500X
Rheumatology Physician
207V00000X
Obstetrics & Gynecology Physician
207X00000X
Orthopaedic Surgery Physician
207Y00000X
Otolaryngology Physician
208000000X
Pediatrics Physician
208100000X
Physical Medicine & Rehabilitation Physician
208600000X
Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2565399
OH
Enumeration date
11/07/2013
Last updated
08/25/2014
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