Organization
HEALTHSOURCE OF OHIO, INC.
Active
Other names
Southern Hills
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA MIRANDE (DIRECTOR CREDENTIALING)
(513) 707-4041
Entity
Organization
Contact information
Practice address
9193 HAMER RD, GEORGETOWN, OH 45121-9472
(937) 306-1005
(937) 306-1006
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
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
06/01/2026
Last updated
06/01/2026
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