| Healthsource: Mt. Orab | |
|
150 Health Partners Cir Mount Orab OH 45154-8610 | |
| (937) 444-2514 | |
| (937) 444-4818 |
| Full Name | Healthsource: Mt. Orab |
|---|---|
| Speciality | Clinic/Center |
| Location | 150 Health Partners Cir, Mount Orab, 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: Mt. Orab 424 Wards Corner Rd Ste 200 Loveland OH 45140-6966 Ph: (513) 707-4041 | Healthsource: Mt. Orab 150 Health Partners Cir Mount Orab OH 45154-8610 Ph: (937) 444-2514 |
| NPI Number | 1417992330 |
|---|---|
| Provider Enumeration Date | 06/17/2006 |
| Last Update Date | 09/18/2024 |
| Medicare PECOS PAC ID | 2264328749 |
|---|---|
| Medicare Enrollment ID | O20070423000506 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417992330 | NPI | - | NPPES |
| 0824184 | Medicaid | OH | |
| CH7473 | Other | OH | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Healthsource: Mt. Orab Elememtry/middle Sbhc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 474 W Main St, Mount Orab, OH 45154 Phone: 937-444-2528 Fax: 937-444-1457 | |
Healthsource: Mt. Orab Elementry/middle Sbhc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 474 W Main St, Mount Orab, OH 45154 Phone: 937-444-2528 Fax: 937-444-1547 | |
Healthsource: Mt. Orab Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 Health Partner Circle, Mount Orab, OH 45154 Phone: 937-444-2514 Fax: 937-444-4818 | |
Hope Palliative Physician Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 215 Hughes Blvd, Mount Orab, OH 45154 Phone: 937-444-4800 | |
Healthsource: Mt. Orab Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 Health Partners Circle, Mount Orab, OH 45154 Phone: 937-444-2514 Fax: 937-444-8012 | |
Adams County Regional Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 217 Hughes Boulevard, Mount Orab, OH 45154 Phone: 937-346-8826 |