Healthsource of Ohio, Inc.

NPI #1679331490 in Blanchester, Ohio

Provider Information

NPI Number
1679331490
Entity Type
Organization
Organization Name
Healthsource of Ohio, Inc.
Subpart
Yes (part of a larger organization)
Parent Organization
HEALTHSOURCE OF OHIO INC
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Mar 7, 2024
Last Updated
Sep 18, 2024

Practice Location

Address
957A CHERRY ST
State
Ohio
ZIP Code
45107-7907
Phone
(937) 783-7111

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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