NPI | 1942646799 |
---|---|
Doing Business As | HEALTHSOURCE: ANDERSON OB/GYN |
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 | 2013-05-21 |
Last Update Date | 2024-09-18 |