| Organization Name: | HEALTHSOURCE OF OHIO, INC. |
| NPI Number: | 1437253598 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WILLIAM E MAROIS (SENIOR VICE PRESIDENT FINANCE) |
| Mailing Address: | 150 Health Partner Circle Mount Orab |
| State: | OH US |
| Postal Code: | 451549422 |
| Phone Number: | 9374442514 |
| Fax Number: | 9374444818 |
| NPI Enumeration Date: | 09/11/2006 |
| NPI Last Update Date: | 02/11/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |