Organization
HEALTHSOURCE OF OHIO INC
Active
Organization
HEALTHSOURCE OF OHIO INC
Active
Other names
HealthSource: Williamsburg
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH W PRATHER II MD (CEO)
(513) 707-4041
Entity
Organization
Contact information
Practice address
500 S 5TH ST STE 202, WILLIAMSBURG, OH 45176-1017
(513) 536-5005
(513) 436-0470
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
—
0417795
—
OH
Enumeration date
05/07/2020
Last updated
08/28/2026
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