Organization
TRIHEALTH G LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN KRAUSE (VICE PRESIDENT, FINANCE)
(513) 569-5126
Entity
Organization
Contact information
Practice address
10498 MONTGOMERY RD STE D, CINCINNATI, OH 45242-4416
(513) 865-1631
(513) 865-1632
Mailing address
4685 FOREST AVE STE C, CINCINNATI, OH 45212-3359
(513) 246-7000
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
363LA2200X
Adult Health 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
11/20/2015
Last updated
03/28/2018
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