Provider Demographics
NPI:1497152987
Name:TRIHEALTH Q, LLC
Entity Type:Organization
Organization Name:TRIHEALTH Q, LLC
Other - Org Name:QUEEN CITY PHYSICIANS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/ADMINISTRATOR
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 1:1 NEUMANN WAY
Mailing Address - Street 2:BUILDING 750
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45215-1915
Mailing Address - Country:US
Mailing Address - Phone:513-246-8001
Mailing Address - Fax:513-871-2824
Practice Address - Street 1:1 NEUMANN WAY
Practice Address - Street 2:BUILDING 750
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45215-1915
Practice Address - Country:US
Practice Address - Phone:513-246-8001
Practice Address - Fax:513-871-2824
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TRIHEALTH PHYSICIANS ENTERPRISE CORP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-11-26
Last Update Date:2014-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2637239Medicaid
OHTR9357671Medicare PIN