HEALTHSOURCE: LEBANON
NPI 1841624350
Clinic/Center - Federally Qualified Health Center (FQHC) in Lebanon, OH

Active since September 03, 2013
1231 COLUMBUS AVE, UNIT A1, 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 16, 2026.

Record update history: Sep 18, 2024, Apr 30, 2019, Sep 27, 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 1841624350) is a healthcare organization registered as a federally qualified health center (fqhc) in Lebanon, Ohio and active in the NPI registry since September 2013. The organization lists Joseph W Prather Ii, Ceo, as its authorized official.

NPPES Registry Identity

NPI1841624350
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameHEALTHSOURCE OF OHIO, INC.
Location Address1231 COLUMBUS AVE, UNIT A1Lebanon, OH 45036-8195
Mailing Address424 Wards Corner Rd Ste 200Loveland, OH 45140-6966 · (513) 707-4041 · Fax (513) 576-1020
Fax(513) 228-1236
Organization SubpartNo
Authorized OfficialJoseph W Prather IiCeo · (513) 707-4041
Enumeration DateSeptember 3, 2013
Last NPPES UpdateSeptember 18, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2024
NPI 1841624350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
1231 COLUMBUS AVE, Lebanon, OH 45036

Other Names 1

Doing Business AsHealthsource: Lebanon

Other Identifiers 1

Medicaid0103505OH

Accepted 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.

Clinic/Center
1231 COLUMBUS AVE, UNIT A 1
LEBANON, OH 45036

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 1841624350. It was assigned to this organization in the NPPES registry on September 3, 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 A1, 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, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

What insurance does Healthsource Of Ohio, Inc. accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer 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 23 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.