HEALTHSOURCE OF OHIO, INC. (NPI# 1841624350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841624350 |
| Entity Type | Organization |
| Organization Name | HEALTHSOURCE OF OHIO, INC. |
| Other Organization Name | HEALTHSOURCE: LEBANON |
| Practice Address |
1231 Columbus Ave Unit A1 Lebanon OH 45036-8195 |
| Mailing Address |
424 Wards Corner Rd Ste 200 Loveland OH 45140-6966 |
| Practice Telephone | 5136964495 |
| Practice Fax Number | 5132281236 |
| Mailing Telephone | 5137074041 |
| Mailing Fax Number | 5135761020 |
| Enumeration Date | 2013-09-03 |
| Last Update Date | 2019-04-30 |
| Authorized Official Name | KIMBERLY PATTON (CEO/PRESIDENT) |
| 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 | 0103505 | 05 |
| Other Name | Type Code |
|---|---|
| HealthSource: Lebanon | 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 |
| 1417992330 | Healthsource of Ohio, Inc. | Clinic/Center | 150 Health Partners Cir, Mount Orab, OH 45154-8610 | 2006-06-17 |
| 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 |
| 1275966863 | Healthsource of Ohio, Inc. | Obstetrics & Gynecology | 8000 5 Mile Rd, Suite 207, Cincinnati, OH 45230-2163 | 2013-08-19 |
| Street Address |
1231 COLUMBUS AVE UNIT A1 |
| City | LEBANON |
| State | OH |
| Zip Code | 45036-8195 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205479458 | Natasha Denney Arentz | Nurse Practitioner | 5787 Oh-63, Lebanon, OH 45036 | 2019-10-21 |
| 1265086573 | Eric Stone | Counselor | 5234 Oh-63, Lebanon, OH 45036 | 2019-07-25 |
| 1548730401 | Crystal Prater | Counselor | 5234 W Sr 63, Lebanon, OH 45036 | 2018-12-04 |
| 1922574284 | Ellen L Fink | Counselor | 5234 Sr 63, Lebanon, OH 45036 | 2018-10-15 |
| 1255832275 | Primary Care Partners of Ohio | Family Medicine | 726 E Main St Ste F205, Lebanon, OH 45036 | 2018-02-25 |
| 1548769599 | Chelsea R Perkins | Case Manager/Care Coordinator | 975 Kingsview Drive Bldg B, Lebanon, OH 45036 | 2018-02-06 |
| 1184133829 | Mary Bennett | Speech-Language Pathologist | 6760 Oh St Rt. 34, Lynchburg, OH 45036 | 2017-09-26 |
| 1699292912 | Robert Earl Offutt | Counselor | 5234 State Rt.63, Lebanon, OH 45036 | 2017-08-28 |
| 1407381528 | Kari Bump | Counselor | 320 E Silver St, Lebanon, OH 45036 | 2017-04-26 |
| 1154780435 | Ohio Department of Rehabilitation and Correction | Public Health or Welfare | State Route 63, Lebanon, OH 45036 | 2016-02-16 |
| Find all providers in zip 45036 | ||||
| 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 |
|---|---|---|---|---|
| 1659919272 | Cumberland Family Medical Center, Inc. | Clinic/Center | 311 W High Street, Lebanon, KY 40033-1427 | 2019-12-13 |
| 1275192031 | Cumberland Family Medical Center, Inc. | Clinic/Center | 1155 Hwy 327, Lebanon, KY 40033-9297 | 2019-06-06 |
| 1477101822 | Family First Health Corporation | Clinic/Center | 300 Willow St, Lebanon, PA 17046-4871 | 2019-08-29 |
| 1437718293 | Cumberland Family Medical Center, Inc. | Clinic/Center | 735 E Main St, Lebanon, KY 40033-1701 | 2019-06-06 |
| 1164081923 | Cumberland Family Medical Center, Inc. | Clinic/Center | 3345 Highway 208, Lebanon, KY 40033-9487 | 2019-06-06 |
| 1154980902 | Cumberland Family Medical Center, Inc. | Clinic/Center | 420 W Main St, Lebanon, KY 40033-1363 | 2019-06-06 |
| 1316506165 | Cumberland Family Medical Center, Inc. | Clinic/Center | 773 E Main St, Lebanon, KY 40033-1701 | 2019-06-06 |
| 1083273841 | Cumberland Family Medical Center, Inc. | Clinic/Center | 200 Corporate Dr, Lebanon, KY 40033-1708 | 2019-06-06 |
| 1851890107 | Aspire Indiana Health Inc | Clinic/Center | 1600 W Main St, Lebanon, IN 46052-2388 | 2018-02-01 |
| 1689045981 | Advocates for A Healthy Community Inc | Clinic/Center | 860 Lynn St, Lebanon, MO 65536-3810 | 2015-10-13 |
| Find all providers in LEBANON | ||||
Please comment or provide details below to improve the information on HEALTHSOURCE OF OHIO, INC..
| 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.