| Healthsource: Williamsburg | |
|
500 S 5th St Ste 202 Williamsburg OH 45176-1017 | |
| (513) 732-5086 | |
| (513) 436-0470 |
| Full Name | Healthsource: Williamsburg |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 500 S 5th St Ste 202, Williamsburg, Ohio |
| Authorized Official Name and Position | Joseph W Prather (CEO) |
| Authorized Official Contact | 5137074041 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthsource: Williamsburg 424 Wards Corner Rd Ste 200 Loveland OH 45140-6966 Ph: (513) 576-7700 | Healthsource: Williamsburg 500 S 5th St Ste 202 Williamsburg OH 45176-1017 Ph: (513) 732-5086 |
| NPI Number | 1003438557 |
|---|---|
| Provider Enumeration Date | 05/07/2020 |
| Last Update Date | 09/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003438557 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Eastside Internal Medicine-geriatrics, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1001 W Main St, Williamsburg, OH 45176 Phone: 513-724-2226 Fax: 513-724-5248 | |
Healthsource: Williamsburg Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 500 S 5th St Ste 202, Williamsburg, OH 45176 Phone: 513-732-5086 Fax: 513-436-0470 |