Provider Demographics
NPI:1932409661
Name:TRIHEALTH HF LLC
Entity Type:Organization
Organization Name:TRIHEALTH HF LLC
Other - Org Name:HEALTH FIRST PHYSICIANS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SR VP/CORP COUNSEL
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:S
Authorized Official - Last Name:NIENABER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-569-6062
Mailing Address - Street 1:PO BOX 636962
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-0001
Mailing Address - Country:US
Mailing Address - Phone:513-398-3445
Mailing Address - Fax:513-398-4680
Practice Address - Street 1:608 READING RD
Practice Address - Street 2:SUITE C
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-3001
Practice Address - Country:US
Practice Address - Phone:513-398-3445
Practice Address - Fax:513-398-4680
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TRIHEALTH HF LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-10-28
Last Update Date:2011-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9392861Medicare PIN