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Contact Information

HEALTHSOURCE OF OHIO INC
150 HEALTH PARTNERS CIRCLE
MOUNT ORAB, OH45154
 Phone: 937-444-2514
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for HEALTHSOURCE OF OHIO INC

NPI # 1235379819
LBN Legal business name HEALTHSOURCE OF OHIO INC
Authorized official JOSEPH PRATHER II - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 02/23/2009
Last updated 03/26/2026 - About 2 months ago
Identifiers
OH Medicaid 2957144
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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