Organization · Type 2 NPI

Healthsource of Ohio Inc

Federally Qualified Health Center (FQHC) · Mount Orab, OH

NPI number 1366915415 Active

Practice location

474 W Main St
Mount Orab, OH 45154-9452

Call (937) 444-2528 Map

Fax (937) 444-1547

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...

2 other providers at this address

Healthsource of Ohio IncPrimary Care Clinic/Center Mount Orab, OH NPI 1265905400
Christina Elizabeth Limes, M.S.CCCSpeech-Language Pathologist Mount Orab, OH NPI 1730313362

Other federally qualified health center (fqhc) providers in Mount Orab

Healthsource of Ohio, Inc.Federally Qualified Health Center (FQHC) Mount Orab, OH NPI 1417992330

See all in Mount Orab →

NPI record

NPI: 1366915415
Entity type: Organization (Type 2)
Issued: Jan 10, 2019
Last updated: Sep 18, 2024
Status: Active

Other names

<unavail>
Healthsource: Mt. Orab Elementry/middle SBHC · doing business as
Healthsource: Mt. Orab Elementry/middle SBHC · doing business as

Authorized official

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

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About NPI 1366915415

Healthsource of Ohio Inc's National Provider Identifier is 1366915415, issued on Jan 10, 2019. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Mount Orab, OH. The record was last updated on Sep 18, 2024.