| Healthsource: New Richmond Family Practice | |
|
100 River Valley Blvd New Richmond OH 45157-8566 | |
| (513) 553-3114 | |
| (513) 553-1032 |
| Full Name | Healthsource: New Richmond Family Practice |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 100 River Valley Blvd, New Richmond, 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: New Richmond Family Practice 424 Wards Corner Rd Ste 200 Loveland OH 45140-6966 Ph: (513) 707-4041 | Healthsource: New Richmond Family Practice 100 River Valley Blvd New Richmond OH 45157-8566 Ph: (513) 553-3114 |
| NPI Number | 1184728230 |
|---|---|
| Provider Enumeration Date | 09/11/2006 |
| Last Update Date | 09/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184728230 | NPI | - | NPPES |
| 0421225 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Healthsource: New Richmond Family Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 River Valley Blvd, New Richmond, OH 45157 Phone: 513-553-3114 Fax: 513-553-1032 |