| Healthsource Goshen | |
|
6694 Goshen Rd Ste 324 Goshen OH 45122-9273 | |
| (513) 592-3690 | |
| (513) 923-3708 |
| Full Name | Healthsource Goshen |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 6694 Goshen Rd Ste 324, Goshen, 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 Goshen 424 Wards Corner Rd Ste 200 Loveland OH 45140-6966 Ph: (513) 576-7700 | Healthsource Goshen 6694 Goshen Rd Ste 324 Goshen OH 45122-9273 Ph: (513) 592-3690 |
| NPI Number | 1588354187 |
|---|---|
| Provider Enumeration Date | 05/09/2023 |
| Last Update Date | 09/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588354187 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Mary A Lee Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6746 Dick Flynn Blvd, Goshen, OH 45122 Phone: 513-722-2603 Fax: 513-722-3423 | |
Healthsource: Goshen Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6694 Goshen Rd Ste 324, Goshen, OH 45122 Phone: 513-592-3690 Fax: 513-592-3708 |