| Healthsource: West Clermont | |
|
1341 Clough Pike Batavia OH 45103-2503 | |
| (513) 732-5085 | |
| (513) 214-2408 |
| Full Name | Healthsource: West Clermont |
|---|---|
| Speciality | Clinic/Center |
| Location | 1341 Clough Pike, Batavia, 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: West Clermont 424 Wards Corner Rd Ste 200 Loveland OH 45140-6966 Ph: (513) 707-4041 | Healthsource: West Clermont 1341 Clough Pike Batavia OH 45103-2503 Ph: (513) 732-5085 |
| NPI Number | 1013428200 |
|---|---|
| Provider Enumeration Date | 10/16/2017 |
| Last Update Date | 09/18/2024 |
| Medicare PECOS PAC ID | 2264328749 |
|---|---|
| Medicare Enrollment ID | O20180614002524 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013428200 | NPI | - | NPPES |
| 0260605 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Healthsource: Batavia Family Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2055 Hospital Drive, Suite 130, Batavia, OH 45103 Phone: 513-732-0870 Fax: 513-732-0873 | |
West Clermont Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1341 Clough Pike Ste 150, Batavia, OH 45103 Phone: 513-732-5082 Fax: 513-214-2408 | |
Clermont Dental Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3003 Hospital Dr, Batavia, OH 45103 Phone: 513-735-8804 Fax: 513-735-8839 | |
Clermont Internists Associates, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2055 Hospital Dr, Suite 300, Batavia, OH 45103 Phone: 513-732-0663 Fax: 513-732-1232 | |
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Healthsource: Batavia Ob/gyn Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2055 Hospital Dr Ste 220, Batavia, OH 45103 Phone: 513-732-0870 Fax: 513-685-4239 |