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HEALTHSOURCE: LEBANON
NPI 1407288210
Clinic/Center in Lebanon, OH

Active since August 02, 2013
1231 COLUMBUS AVE, UNIT A 1, LEBANON, OH 45036(513) 696-4495(513) 228-1236 Get Directions Write a Review

NPPES record last updated: September 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 18, 2024, Apr 30, 2019, Oct 20, 2016 (3 updates tracked since 2016).

About Healthsource: Lebanon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEALTHSOURCE: LEBANON (NPI 1407288210) is a healthcare organization registered as a clinic/center in Lebanon, Ohio and active in the NPI registry since August 2013. The organization lists Joseph W Prather Ii, Ceo, as its authorized official.

NPPES Registry Identity

NPI1407288210
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameHEALTHSOURCE OF OHIO, INC.
Location Address1231 COLUMBUS AVE, UNIT A 1Lebanon, OH 45036-8195
Mailing Address424 Wards Corner Rd Ste 200Loveland, OH 45140-6966 · (513) 707-4041 · Fax (513) 576-1020
Phone(513) 696-4495
Fax(513) 228-1236
Organization SubpartNo
Authorized OfficialJoseph W Prather IiCeo · (513) 707-4041
Enumeration DateAugust 2, 2013
Last NPPES UpdateSeptember 18, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2024
✔ NPI 1407288210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1231 COLUMBUS AVE, Lebanon, OH 45036
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Other Names 1

Doing Business AsHealthsource: Lebanon

Other Identifiers 1

Medicaid0099241OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEALTHSOURCE OF OHIO, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
1231 COLUMBUS AVE, UNIT A1
LEBANON, OH 45036
Warren County (513) 696-4495

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Healthsource Of Ohio, Inc.'s NPI number?

The NPI number for Healthsource Of Ohio, Inc. is 1407288210. It was assigned to this organization in the NPPES registry on August 2, 2013. The provider is doing business as Healthsource: Lebanon.

Where is Healthsource Of Ohio, Inc. located?

Healthsource Of Ohio, Inc. is located at 1231 Columbus Ave Unit A 1, Lebanon, OH 45036. The listed phone number is (513) 696-4495.

What is Healthsource Of Ohio, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

What insurance does Healthsource Of Ohio, Inc. accept?

Health plans from Molina Healthcare list Healthsource Of Ohio, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Healthsource Of Ohio, Inc. was last updated on September 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.