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Contact Information

HEALTHSOURCE OF OHIO INC
218 STERN RD
SEAMAN, OH45679-9607
 Phone: 937-386-0049
 Fax: 937-386-0230
 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 # 1376612119
LBN Legal business name HEALTHSOURCE OF OHIO INC
Authorized official JOSEPH PRATHER II - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 11/07/2006
Last updated 09/18/2024 - More than a year ago
Identifiers
OH License # 02-1220950
OH Medicaid 2174614
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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