| NPI | 1285290593 |
|---|---|
| Other Name | TRILLIUM HEALTH SOUTH |
| Entity Type | Organization |
| Authorized Contact | JASON BARNECUT-KEARNS President/CEO 585-210-4138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2025-11-17 |