Provider Demographics
NPI:1053655738
Name:TRIHEALTH HOSPITAL , INC
Entity Type:Organization
Organization Name:TRIHEALTH HOSPITAL , INC
Other - Org Name:TRIHEALTH EVENDALE HOSPITAL AND TRIHEALTH EVENDALE WEST SURGERY CENTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ASSISTANT COMPLIANCE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:
Authorized Official - Last Name:FREY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-569-6299
Mailing Address - Street 1:3155 GLENDALE MILFORD RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45241-3134
Mailing Address - Country:US
Mailing Address - Phone:513-454-2222
Mailing Address - Fax:
Practice Address - Street 1:3155 GLENDALE MILFORD RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45241-3134
Practice Address - Country:US
Practice Address - Phone:513-454-2222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-19
Last Update Date:2017-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0093233Medicaid
IN201328070Medicaid
KY7100398110Medicaid
IN201328070Medicaid