# HEALTHSOURCE OF OHIO, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Southern Hills
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679405989
- **Authorized official:** PATRICIA MIRANDE (DIRECTOR CREDENTIALING)
- **Authorized official phone:** (513) 707-4041

## Contact information

- **Practice address:** 9193 HAMER RD, GEORGETOWN, OH 45121-9472
- **Practice address phone:** (937) 306-1005
- **Practice address fax:** (937) 306-1006
- **Mailing address:** 424 WARDS CORNER RD STE 200, LOVELAND, OH 45140-6966
- **Mailing address phone:** (513) 707-4041
- **Mailing address fax:** (513) 576-1020

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/01/2026
- **Last updated:** 06/01/2026
