Organization
HEALTHSOURCE OF OHIO, INC.
Active
Organization
HEALTHSOURCE OF OHIO, INC.
Active
Other names
HealthSource: Goshen
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH W PRATHER II MD (CEO)
(513) 707-4041
Entity
Organization
Contact information
Practice address
6694 GOSHEN RD STE 324, GOSHEN, OH 45122-9273
(513) 592-3690
(513) 592-3708
Mailing address
424 WARDS CORNER RD STE 200, LOVELAND, OH 45140-6966
(513) 576-7700
(513) 576-1020
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016312
—
OH
Enumeration date
08/15/2022
Last updated
03/26/2026
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