| NPI | 1013428200 |
|---|---|
| Doing Business As | HEALTHSOURCE: WEST CLERMONT |
| Entity Type | Organization |
| Authorized Contact | JOSEPH W PRATHER II CEO 513-707-4041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2017-10-16 |
| Last Update Date | 2024-09-18 |