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Healthsource Of Ohio, Inc.
Federally Qualified Health Center (FQHC) in Wilmington, Ohio
NPI 1417266537

Healthsource Of Ohio, Inc. is a Federally Qualified Health Center (FQHC) based in Loveland, OH and is specialized in Federally Qualified Health Center (FQHC). Healthsource Of Ohio, Inc. practices in Wilmington, OH. The NPI Number for Healthsource Of Ohio, Inc. is 1417266537 and holds a License No. (Ohio).

The current practice location address for Healthsource Of Ohio, Inc. is 140 W Main St, Wilmington, OH and can be reached out via phone at 937-481-2930 and via fax at 937-382-4717.

Location: 140 W Main St, Wilmington, OH, 45140-6966
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1417266537
Provider Name
Healthsource Of Ohio, Inc.
Credential
Provider Entity Type
Organization
Address
140 W Main St, Wilmington, OH, 45140-6966
Phone Number
937-481-2930
Fax Number
937-382-4717
Provider Enumeration Date
10/07/2010
Last Update Date
10/19/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0068750 05 OH
institution
Provider Business Practice Location Address Details
Address
140 W Main St
City
Wilmington
State
Ohio
Zip
45177-2239
Phone Number
937-481-2930
Fax Number
937-382-4717
person
Provider Business Mailing Address Details
Address
140 W Main St
City
Wilmington
State
Ohio
Zip
45177-2239
Phone Number
937-481-2930
Fax Number
937-382-4717
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
261QF0400X
License No.
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Definition
Definition to come...
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