Provider Demographics
NPI:1114703055
Name:TRINITY HEALTH PLAN OF MICHIGAN, INC.
Entity Type:Organization
Organization Name:TRINITY HEALTH PLAN OF MICHIGAN, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSOCIATE COUNSEL
Authorized Official - Prefix:MRS
Authorized Official - First Name:TRISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:WHETSTONE
Authorized Official - Suffix:
Authorized Official - Credentials:ESQ
Authorized Official - Phone:614-546-4651
Mailing Address - Street 1:3100 EASTON SQUARE PL STE 300
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43219-6290
Mailing Address - Country:US
Mailing Address - Phone:614-546-3151
Mailing Address - Fax:
Practice Address - Street 1:3100 EASTON SQUARE PL STE 300
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43219-6290
Practice Address - Country:US
Practice Address - Phone:614-546-3151
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-06
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization