HEALTHSOURCE OF OHIO INC. NPI 1528796786

NPI Information

HEALTHSOURCE OF OHIO, INC. is a federally qualified health center (fqhc) clinic center in Goshen, OH. HEALTHSOURCE OF OHIO, INC. NPI is 1528796786. The provider is registered as an organization entity type.
The provider Is Doing Business As Healthsource: Goshen.

The provider's business location address is:

6694 GOSHEN RD STE 324
GOSHEN, OH
ZIP 45122-273
Phone: (513) 592-3690
Fax: (513) 592-3708

The provider's authorized official is Patricia Mirande .
The authorized official title is Cred And Contract Datab Manager and has the following contact phone number (513) 707-4041.

The enumeration date for this NPI number is 8/15/2022 and was last updated on 5/16/2023.

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:

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