Healthsource of Ohio INC

NPI #1013428200 in Batavia, Ohio

Provider Information

NPI Number
1013428200
Entity Type
Organization
Organization Name
Healthsource of Ohio INC
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Oct 16, 2017
Last Updated
Sep 18, 2024

Practice Location

Address
1341 CLOUGH PIKE
State
Ohio
ZIP Code
45103-2503
Phone
(513) 732-5085

Authorized Official

Name
JOSEPH W PRATHER II, MD
Title
CEO
Phone
(513) 707-4041

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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