Provider Demographics
NPI:1093896961
Name:TRINITY HOSPITAL HOLDING COMPANY
Entity Type:Organization
Organization Name:TRINITY HOSPITAL HOLDING COMPANY
Other - Org Name:TRINITY MEDICAL CENTER EAST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO/VP OF FINANCE
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:A
Authorized Official - Last Name:WERKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-264-8695
Mailing Address - Street 1:4000 JOHNSON RD
Mailing Address - Street 2:ATTENTION: DAVID A. WERKIN - ADMINISTRATION
Mailing Address - City:STEUBENVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43952-2364
Mailing Address - Country:US
Mailing Address - Phone:740-264-8110
Mailing Address - Fax:740-264-8108
Practice Address - Street 1:380 SUMMIT AVE
Practice Address - Street 2:
Practice Address - City:STEUBENVILLE
Practice Address - State:OH
Practice Address - Zip Code:43952-2699
Practice Address - Country:US
Practice Address - Phone:740-283-7809
Practice Address - Fax:740-283-7229
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TRINITY HOSPITAL HOLDING COMPANY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-10-18
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273Y00000XHospital UnitsRehabilitation Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0240386Medicaid
36T211Medicare ID - Type Unspecified