HEALTHSOURCE OF OHIO, INC. (NPI# 1417992330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417992330 |
| Entity Type | Organization |
| Organization Name | HEALTHSOURCE OF OHIO, INC. |
| Other Organization Name | HEALTHSOURCE: MT. ORAB |
| Practice Address |
150 Health Partners Cir Mount Orab OH 45154-8610 |
| Mailing Address |
424 Wards Corner Rd Ste 200 Loveland OH 45140-6966 |
| Practice Telephone | 9374442514 |
| Practice Fax Number | 9374444818 |
| Mailing Telephone | 5137074041 |
| Mailing Fax Number | 5135761020 |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2019-04-30 |
| Authorized Official Name | KIMBERLY PATTON (CEO) |
| Authorized Official Telephone | 5135767700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0824184 | 05 | |
| OH | RAILROAD MEDICARE | CH7473 | 01 |
| Other Name | Type Code |
|---|---|
| HealthSource: Mt. Orab | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407288210 | Healthsource of Ohio, Inc. | Family Medicine | 1231 Columbus Ave, Unit A 1, Lebanon, OH 45036-8195 | 2013-08-02 |
| 1326142480 | Healthsource of Ohio, Inc. | Clinic/Center | 1108 Northview Drive, Suite 1, Hillsboro, OH 45133-8591 | 2006-09-11 |
| 1174555478 | Healthsource of Ohio, Inc. | Clinic/Center | 1108 Northview Dr, Suite 1, Hillsboro, OH 45133-1184 | 2006-07-07 |
| 1306874326 | Healthsource of Ohio, Inc. | Clinic/Center | 6535 Snider Rd, Loveland, OH 45140-9588 | 2006-06-29 |
| 1164458717 | Healthsource of Ohio, Inc. | Clinic/Center | 308 Highland Ave, Ste H, Washington Court House, OH 43160-1819 | 2006-06-24 |
| 1164933362 | Healthsource of Ohio, Inc. | Clinic/Center | 1341 Clough Pike Ste 150, Batavia, OH 45103-2503 | 2017-10-16 |
| 1902325822 | Healthsource of Ohio, Inc. | Clinic/Center | 2055 Hospital Dr Ste 220, Batavia, OH 45103-1964 | 2017-09-12 |
| 1013436930 | Healthsource of Ohio, Inc. | Obstetrics & Gynecology | 2055 Hospital Dr Ste 220, Batavia, OH 45103-1964 | 2017-09-12 |
| 1841624350 | Healthsource of Ohio, Inc. | Clinic/Center | 1231 Columbus Ave, Unit A1, Lebanon, OH 45036-8195 | 2013-09-03 |
| 1275966863 | Healthsource of Ohio, Inc. | Obstetrics & Gynecology | 8000 5 Mile Rd, Suite 207, Cincinnati, OH 45230-2163 | 2013-08-19 |
| Street Address |
150 HEALTH PARTNERS CIR |
| City | MOUNT ORAB |
| State | OH |
| Zip Code | 45154-8610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801417282 | Tina Gifford | Nurse Practitioner | 150 Health Partners Cir, Mount Orab, OH 45154-8610 | 2020-04-27 |
| 1629698055 | Samuel L Rotunna | Pharmacist | 150 Health Partners Cir, Mount Orab, OH 45154-8610 | 2020-04-27 |
| 1972951028 | James Matthew Candon IIi | Dentist | 150 Health Partners Cir, Mount Orab, OH 45154-8610 | 2016-05-31 |
| 1063793925 | Lacee Stephens | Nurse Practitioner | 150 Health Partners Cir, Mount Orab, OH 45154-8610 | 2011-09-06 |
| 1760770507 | Nicholas Michael Taylor | Dentist | 150 Health Partners Cir, Mount Orab, OH 45154-8610 | 2011-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326649708 | Lloyd David Dehart | Technician | 14555 Newharmony Salem Rd, Mount Orab, OH 45154 | 2020-11-03 |
| 1245839901 | Wendy Ellen Driskill | Homemaker | 4254 Upper Five Mile East Rd, Mount Orab, OH 45154 | 2020-10-22 |
| 1871190298 | Debora Lee Rothwell | Homemaker | 14561 Salem Church Rd, Mount Orab, OH 45154 | 2020-10-08 |
| 1205375516 | Deborah Ann Otten | Social Worker | 116 North High Street, Mt. Orab, OH 45154 | 2017-02-20 |
| 1750837472 | Sheryl Schwarber | Contractor | 309 1/2 Water St, Mount Orab, OH 45154 | 2016-09-01 |
| 1639515794 | Nicole Kristin Hance | Nurse Practitioner | 292 Brooks Malott Rd., Mt. Orab, OH 45154 | 2013-05-16 |
| 1467767822 | Allcare Home Health, LLC | Home Health | 100 Liming Farming Rd., Mount Orab, OH 45154 | 2010-08-10 |
| 1801032404 | Janet Marie Fetters | Contractor | 453 West Main Street, Mount Orab, OH 45154 | 2009-01-02 |
| 1982824124 | Rosa Lee Begley | Home Health Aide | 4256 Upper Five Mile East Road, Mt Orab, OH 45154 | 2007-04-30 |
| 1295950400 | Valerie Lynne Bazylewicz | Family Medicine | 123 Emmons Place, Mount Orab, OH 45154 | 2007-04-13 |
| Find all providers in zip 45154 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366915415 | Healthsource of Ohio Inc | Clinic/Center | 474 W Main St, Mount Orab, OH 45154-9452 | 2019-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699380725 | Family Health Services of Erie County | Clinic/Center | 209 Lowell St, Castalia, OH 44824-9332 | 2020-09-15 |
| 1124633193 | Community Health Centers of Greater Dayton | Clinic/Center | 3805 Kings Hwy Rm C, Dayton, OH 45406-3577 | 2020-09-15 |
| 1669087649 | Community Health Centers of Greater Dayton | Clinic/Center | 2900 Shiloh Springs Rd, Ste Studio A, Trotwood, OH 45426-2139 | 2020-09-15 |
| 1639783996 | Erie County Office of Auditor | Clinic/Center | 34 Executive Dr Ste A, Norwalk, OH 44857-2490 | 2020-09-03 |
| 1083231872 | Health Partners of Western Ohio | Clinic/Center | 550 S Collett St Ste 1, Lima, OH 45805-3210 | 2020-06-29 |
| 1366068405 | Muskingum Valley Health Centers | Clinic/Center | 225 W Union Ave Ste 100, West Lafayette, OH 43845-1150 | 2020-06-24 |
| 1205452331 | Muskingum Valley Health Centers | Clinic/Center | 58601 Marietta Rd Ste 100, Byesville, OH 43723-9452 | 2020-06-24 |
| 1336777077 | Shawnee Mental Health Center Inc | Clinic/Center | 1225 Gallia St Rm 121, Portsmouth, OH 45662-4216 | 2020-03-30 |
| 1376177303 | Erie County Office of Auditor | Clinic/Center | 1925 Hayes Ave Ste B, Sandusky, OH 44870-4737 | 2020-02-28 |
| 1407480593 | Erie County Office of Auditor | Clinic/Center | 333 Buckeye Blvd Ste B, Port Clinton, OH 43452-2475 | 2020-02-27 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT ORAB |
| Zip Code | 45154 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.