Provider Demographics
NPI:1568444818
Name:TRIHEALTH HF LLC
Entity Type:Organization
Organization Name:TRIHEALTH HF LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP, FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CROFTON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:513-569-6577
Mailing Address - Street 1:4685 FOREST AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45212-3397
Mailing Address - Country:US
Mailing Address - Phone:513-853-4684
Mailing Address - Fax:513-852-8525
Practice Address - Street 1:1 PROCTER AND GAMBLE PLZ
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45202-3315
Practice Address - Country:US
Practice Address - Phone:513-977-0079
Practice Address - Fax:513-853-8997
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-14
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3116658Medicaid
OH2315588Medicaid
OHHE9319312Medicare PIN
CK6268Medicare PIN
OHTR9392861Medicare PIN
OH3116658Medicaid