| Healthsource: Mt. Washington | |
|
6131 Campus Ln Cincinnati OH 45230-1601 | |
| (513) 732-5088 | |
| (513) 231-2620 |
| Full Name | Healthsource: Mt. Washington |
|---|---|
| Speciality | Clinic/center |
| Location | 6131 Campus Ln, Cincinnati, Ohio |
| Authorized Official Name and Position | Joseph W Prather Ii (CEO) |
| Authorized Official Contact | 5137074041 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthsource: Mt. Washington 424 Wards Corner Rd Ste 200 Loveland OH 45140-6966 Ph: (513) 707-4041 | Healthsource: Mt. Washington 6131 Campus Ln Cincinnati OH 45230-1601 Ph: (513) 732-5088 |
| NPI Number | 1659611424 |
|---|---|
| Provider Enumeration Date | 02/15/2013 |
| Last Update Date | 09/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659611424 | NPI | - | NPPES |
| 0109532 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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