Provider Demographics
NPI:1760780795
Name:TRIHEALTH
Entity Type:Organization
Organization Name:TRIHEALTH
Other - Org Name:GOOD SAMARITAN HOSPITAL
Other - Org Type:Other Name
Authorized Official - Title/Position:PGY 3
Authorized Official - Prefix:DR
Authorized Official - First Name:RAFAEL
Authorized Official - Middle Name:ANTONIO
Authorized Official - Last Name:BLOISE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:513-862-7863
Mailing Address - Street 1:3785 FOX RUN DR
Mailing Address - Street 2:APT 607
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45236-1141
Mailing Address - Country:US
Mailing Address - Phone:513-374-9997
Mailing Address - Fax:
Practice Address - Street 1:375 DIXMYTH AVE
Practice Address - Street 2:MEDICAL EDUCATION DEPT, 3TH FLOOR
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45220-2475
Practice Address - Country:US
Practice Address - Phone:513-862-7863
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-28
Last Update Date:2011-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital