| Healthsource: Lebanon | |
|
1231 Columbus Ave Unit A1 Lebanon OH 45036-8195 | |
| (513) 696-4495 | |
| (513) 228-1236 |
| Full Name | Healthsource: Lebanon |
|---|---|
| Speciality | Clinic/Center |
| Location | 1231 Columbus Ave, Lebanon, Ohio |
| Authorized Official Name and Position | Joseph W Prather Ii (CEO) |
| Authorized Official Contact | 5137074041 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthsource: Lebanon 424 Wards Corner Rd Ste 200 Loveland OH 45140-6966 Ph: (513) 707-4041 | Healthsource: Lebanon 1231 Columbus Ave Unit A1 Lebanon OH 45036-8195 Ph: (513) 696-4495 |
| NPI Number | 1841624350 |
|---|---|
| Provider Enumeration Date | 09/03/2013 |
| Last Update Date | 09/18/2024 |
| Medicare PECOS PAC ID | 2264328749 |
|---|---|
| Medicare Enrollment ID | O20131210000044 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841624350 | NPI | - | NPPES |
| 0103505 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Broadway Family Medicine Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1470 N Broadway St, Suite100, Lebanon, OH 45036 Phone: 513-932-1936 Fax: 513-932-3105 | |
Trihealth Physician Practices, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Arrow Springs Blvd, Suite 2800, Lebanon, OH 45036 Phone: 513-282-7300 Fax: 513-282-7310 | |
Turtle Creek Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 767 Columbus Ave, Suite 100, Lebanon, OH 45036 Phone: 513-228-9444 Fax: 513-228-9440 | |
Hill County Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1237 Fox Hollow Dr, Lebanon, OH 45036 Phone: 513-282-2282 Fax: 513-556-2953 | |
Primary Care Partners Of Ohio Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 726 E Main St Ste F205, Lebanon, OH 45036 Phone: 513-325-4392 Fax: 513-409-5086 | |
Lebanon Medical Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 990 Belvedere Dr Ste A, Lebanon, OH 45036 Phone: 513-228-1666 Fax: 513-228-1555 | |
Healthsource: Lebanon Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1231 Columbus Ave, Unit A 1, Lebanon, OH 45036 Phone: 513-696-4495 Fax: 513-228-1236 |