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TRILLIUM HEALTH INC NPI 1861496358


NPI Information

NPI: 1861496358
Provider Name: TRILLIUM HEALTH, INC

Former Legal Business Name: COMMUNITY HEALTH NETWORK INC, FORMER D/B/A AIDS COMMUNITY HEALTH CENTE

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
259 MONROE AVENUE
ROCHESTER, NY
ZIP 14607
Phone: (585) 545-7200
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TRILLIUM HEALTH, INC is a primary care clinic center in Rochester, NY. TRILLIUM HEALTH, INC NPI is 1861496358. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Community Health Network Inc, Former D/b/a Aids Community Health Cente.

The provider's business location address is:

259 MONROE AVENUE
ROCHESTER, NY
ZIP 14607-632
Phone: (585) 545-7200
Fax: (585) 244-6456

The provider's authorized official is Andrea Demeo .
The authorized official title is President & Ceo and has the following contact phone number (585) 210-4103.

The enumeration date for this NPI number is 6/13/2005 and was last updated on 10/6/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterNo
2261QP2300XClinic/CenterPrimary CareYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
131901AMEDICARE PINNEW YORK
201230991MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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