Organization
HEALTHSOURCE OF OHIO INC
Active
Other names
HealthSource: Mt. Orab Elememtry/Middle SBHC
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH W PRATHER II MD (CEO)
(513) 707-4041
Entity
Organization
Contact information
Practice address
474 W MAIN ST, MOUNT ORAB, OH 45154-9452
(937) 444-2528
(937) 444-1457
Mailing address
424 WARDS CORNER RD STE 200, LOVELAND, OH 45140-6966
(513) 707-4041
(513) 576-1020
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/10/2019
Last updated
09/18/2024
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