Provider Demographics
NPI:1043672009
Name:TRIHEALTH Q, LLC
Entity Type:Organization
Organization Name:TRIHEALTH Q, LLC
Other - Org Name:TRIHEALTH PHYSICIAN PARTNERS, QUEEN CITY PHYSICIANS MADEIRA PEDIATRICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:
Authorized Official - Last Name:COYLE-TOERNER
Authorized Official - Suffix:
Authorized Official - Credentials:MHHA
Authorized Official - Phone:513-246-8001
Mailing Address - Street 1:7829 LAUREL AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45243-2608
Mailing Address - Country:US
Mailing Address - Phone:513-246-8001
Mailing Address - Fax:
Practice Address - Street 1:7829 LAUREL AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45243-2608
Practice Address - Country:US
Practice Address - Phone:513-246-8001
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TPEC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-03-28
Last Update Date:2016-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care