| Healthsource Of Ohio, Inc. | |
|
312 Highland Ave Suite H Washington Court House OH 43160-1819 | |
| (740) 335-8608 | |
| (740) 335-0137 |
| Full Name | Healthsource Of Ohio, Inc. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 312 Highland Ave, Washington Court House, Ohio |
| Authorized Official Name and Position | Joseph W Prather Ii (CEO) |
| Authorized Official Contact | 5137074041 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthsource Of Ohio, Inc. 424 Wards Corner Rd Ste 200 Loveland OH 45140-6966 Ph: (513) 707-4041 | Healthsource Of Ohio, Inc. 312 Highland Ave Suite H Washington Court House OH 43160-1819 Ph: (740) 335-8608 |
| NPI Number | 1861502452 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 09/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861502452 | NPI | - | NPPES |
| 0954436 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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