HEALTHSOURCE OF OHIO INC. NPI 1407288210

NPI Information

  • NPI: 1407288210
  • Provider Name: HEALTHSOURCE OF OHIO, INC.
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Doing Business As: HEALTHSOURCE: LEBANON
  • Address: 1231 COLUMBUS AVE
    UNIT A 1
    LEBANON, OH
    ZIP 45036
  • Phone: (513) 696-4495

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NPI Details

HEALTHSOURCE OF OHIO, INC. is a clinic center in Lebanon, OH. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). HEALTHSOURCE OF OHIO, INC. NPI is 1407288210. The provider is registered as an organization entity type.
The provider Is Doing Business As Healthsource: Lebanon.

The provider's business location address is:

1231 COLUMBUS AVE
UNIT A 1
LEBANON, OH
ZIP 45036-195
Phone: (513) 696-4495
Fax: (513) 228-1236

The provider's authorized official is Joseph W Prather Ii .
The authorized official title is Ceo and has the following contact phone number (513) 707-4041.

The enumeration date for this NPI number is 8/2/2013 and was last updated on 9/18/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10099241MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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