Organization · Type 2 NPI

Healthsource of Ohio, Inc.

Federally Qualified Health Center (FQHC) · Blanchester, OH

NPI number 1679331490 Active

Practice location

957A Cherry St
Blanchester, OH 45107-7907

Call (937) 783-7111 Map

Fax (937) 783-7115

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

NPI record

NPI: 1679331490
Entity type: Organization (Type 2)
Issued: Mar 7, 2024
Last updated: Mar 26, 2026
Status: Active
Subpart: Yes of Healthsource of Ohio Inc

Other names

<unavail>
Healthsource Blanchester · doing business as
Healthsource Blanchester · 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 1679331490

Healthsource of Ohio, Inc.'s National Provider Identifier is 1679331490, issued on Mar 7, 2024. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Blanchester, OH. The record was last updated on Mar 26, 2026.