Healthsource of Ohio, Inc.
NPI #1255372207 in Georgetown, Ohio
Provider Information
- NPI Number
- 1255372207
- Entity Type
- Organization
- Organization Name
- Healthsource of Ohio, Inc.
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Jun 9, 2006
- Last Updated
- Sep 18, 2024
Practice Location
- Address
- 631 E STATE ST
- City
- Georgetown
- State
- Ohio
- ZIP Code
- 45121-1437
- Phone
- (937) 378-6387
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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