Provider Demographics
NPI:1285290593
Name:TRILLIUM HEALTH, INC.
Entity type:Organization
Organization Name:TRILLIUM HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SR. DIRECTOR, OPERATIONS
Authorized Official - Prefix:MS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:JO
Authorized Official - Last Name:SAHRLE
Authorized Official - Suffix:
Authorized Official - Credentials:MSED, PMP, SHRM-SCP
Authorized Official - Phone:585-465-2015
Mailing Address - Street 1:259 MONROE AVENUE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14607
Mailing Address - Country:US
Mailing Address - Phone:585-465-2015
Mailing Address - Fax:
Practice Address - Street 1:170 SCIENCE PKWY
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14620-4251
Practice Address - Country:US
Practice Address - Phone:585-545-7200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-13
Last Update Date:2019-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center