Healthsource of Ohio, Inc.

NPI #1528796786 in Goshen, Ohio

Provider Information

NPI Number: 1528796786
Entity Type: Organization
Organization Name: Healthsource of Ohio, Inc.
Primary Specialty: Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date: Aug 15, 2022
Last Updated: Sep 18, 2024

Practice Location

Address: 6694 GOSHEN RD STE 324
City: Goshen
State: Ohio
ZIP Code: 45122-9273
Phone: (513) 592-3690

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC)	261QF0400X	Primary

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