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Organization

HEALTHSOURCE OF OHIO INC

Active
Other names
HealthSource Wards Corner
Organization subpart
No

Provider details

NPI number
Authorized official
JOSEPH W PRATHER MD (CEO)
(513) 707-4041
Entity
Organization

Contact information

Practice address
455 WARDS CORNER RD STE 200, LOVELAND, OH 45140-9062
(513) 688-8580
(513) 688-8591
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
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0142397
OH
Enumeration date
04/28/2025
Last updated
03/26/2026
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Product
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  • EDI platform