| Healthsource: Felicity | |
|
105 Market St Ste 100 Felicity OH 45120-9668 | |
| (513) 429-7330 | |
| (513) 429-7073 |
| Full Name | Healthsource: Felicity |
|---|---|
| Speciality | Clinic/Center |
| Location | 105 Market St Ste 100, Felicity, 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: Felicity 424 Wards Corner Rd Ste 200 Loveland OH 45140-6966 Ph: (513) 576-7700 | Healthsource: Felicity 105 Market St Ste 100 Felicity OH 45120-9668 Ph: (513) 429-7330 |
| NPI Number | 1053049213 |
|---|---|
| Provider Enumeration Date | 08/15/2022 |
| Last Update Date | 09/18/2024 |
| Medicare PECOS PAC ID | 2264328749 |
|---|---|
| Medicare Enrollment ID | O20230104000136 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053049213 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Sweet Felicity Clinic Of Psychiatry Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 311 W Walnut Lane, 502, Felicity, OH 45120 Phone: 513-560-1023 Fax: 513-672-0844 | |
Healthsource Felicity Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 Market St Ste 100, Felicity, OH 45120 Phone: 513-429-7330 Fax: 513-429-7073 |