Healthsource Of Ohio, Inc. in Washington Court Hou - Federally Qualified Health Center (fqhc)
Healthsource Of Ohio, Inc. - NPI 1164458717
Healthsource Of Ohio, Inc. is a Federally Qualified Health Center (fqhc) in Washington Court Hou, Ohio. Healthsource Of Ohio, Inc. practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Healthsource Of Ohio, Inc. is 1164458717. The last update date is 2020-09-10.
Healthsource Of Ohio, Inc.'s current location address is 308 Highland Ave, Washington Court Hou, Ohio. You can contact this provider via phone number 7403358608 and fax number 7403350137. The mailing address for Healthsource Of Ohio, Inc. is 308 Highland Ave, Washington Court Hou, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Healthsource Of Ohio, Inc. |
|---|---|
| Address | 308 Highland Ave, Washington Court Hou, Ohio |
| Phone Number | 7403358608 |
| Fax Number | 7403350137 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Patton Kimberly |
| Telephone Number | 5135767700 |
NPI Number Detail
| NPI Number | 1164458717 |
|---|---|
| Provider Enumeration Date | 2006-06-24 |
| Last Updated Date | 2020-09-10 |
Provider Mailing Address Detail
| Address | 308 Highland Ave |
|---|---|
| City | Washington Court Hou |
| State | Ohio (OH) |
| Post Code | 431601819 |
| Phone Number | 7403358608 |
| Fax Number | 7403350137 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 953142 | OH | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Healthsource Of Ohio, Inc. by the Centers for Medicare & Medicaid Services?
The Healthsource Of Ohio, Inc. has been assigned the NPI (National Provider Identifier) 1164458717 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Healthsource Of Ohio, Inc.'s physical address?
The Healthsource Of Ohio, Inc. is physically located at 308 Highland Ave, in the city of Washington Court Hou, OH, with the postal code 431601819.
What is Healthsource Of Ohio, Inc.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The Healthsource Of Ohio, Inc.'s area of specialization is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code that categorizes this field of practice is 261Qf0400X.
On what date did the Healthsource Of Ohio, Inc. receive the assignment of its 1164458717 from the Centers for Medicare & Medicaid Services?
The Healthsource Of Ohio, Inc. was issued its 1164458717 by the Centers for Medicare & Medicaid Services on 2006-06-24.
As of what date were the Healthsource Of Ohio, Inc.'s details last updated?
The information pertaining to the Healthsource Of Ohio, Inc., including its address, specialty, and other details, was most recently updated on 2020-09-10.
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