Organization · Type 2 NPI

Healthsource of Ohio, Inc.

Federally Qualified Health Center (FQHC) · Georgetown, OH

NPI number 1255372207 Active

Practice location

631 E State St
Georgetown, OH 45121-1437

Call (937) 378-6387 Map

Fax (937) 378-4253

Mailing address

424 Wards Corner Rd Ste 200
Loveland, OH 45140-6966

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

11 other providers at this address

Other federally qualified health center (fqhc) providers in Georgetown

Healthsource of Ohio, Inc.Federally Qualified Health Center (FQHC) Georgetown, OH NPI 1619809910

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NPI record

NPI: 1255372207
Entity type: Organization (Type 2)
Issued: Jun 9, 2006
Last updated: Aug 28, 2026
Status: Active

Other names

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Healthsource: Georgetown Pediatrics and Family Practice · doing business as
Healthsource: Georgetown Pediatrics and Family Practice · doing business as

Authorized official

Joseph W Prather II, MD
CEO
(513) 707-4041

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1255372207

Healthsource of Ohio, Inc.'s National Provider Identifier is 1255372207, issued on Jun 9, 2006. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Georgetown, OH. The record was last updated on Aug 28, 2026.