Healthsource of Ohio INC
NPI #1366915415 in Mount Orab, Ohio
Provider Information
- NPI Number
- 1366915415
- Entity Type
- Organization
- Organization Name
- Healthsource of Ohio INC
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Jan 10, 2019
- Last Updated
- Sep 18, 2024
Practice Location
- Address
- 474 W MAIN ST
- City
- Mount Orab
- State
- Ohio
- ZIP Code
- 45154-9452
- Phone
- (937) 444-2528
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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