| Healthsource Of Ohio, Inc. | |
|
308 Highland Ave Ste H Washington Court House OH 43160-1819 | |
| (740) 335-8608 | |
| (740) 335-0137 |
| Full Name | Healthsource Of Ohio, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 308 Highland Ave, Washington Court House, Ohio |
| Authorized Official Name and Position | Joseph W Prather Ii (CEO) |
| Authorized Official Contact | 5137074041 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthsource Of Ohio, Inc. 424 Wards Corner Rd Ste 200 Loveland OH 45140-6966 Ph: (513) 704-4041 | Healthsource Of Ohio, Inc. 308 Highland Ave Ste H Washington Court House OH 43160-1819 Ph: (740) 335-8608 |
| NPI Number | 1164458717 |
|---|---|
| Provider Enumeration Date | 06/24/2006 |
| Last Update Date | 09/18/2024 |
| Medicare PECOS PAC ID | 2264328749 |
|---|---|
| Medicare Enrollment ID | O20070424000433 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164458717 | NPI | - | NPPES |
| 0953142 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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