Healthsource: Eastgate Pediatrics

LBN: Healthsource Of Ohio, Inc.
Healthsource: Eastgate Pediatrics is an health care organization with primary practice located at 4627 Aicholtz Rd , Cincinnati OH 45244-1447. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Healthsource Of Ohio, Inc. can be contacted via phone (513) 753-2820, or through Marois, William via phone (513) 576-7700.

Contact Information

Primary practice address
4627 Aicholtz Rd Cincinnati OH 45244-1447
Phone: (513) 753-2820
Fax: (513) 753-2824
Website:
Map and Directions
Authorized official contact:
Name: Marois, William
Phone: (513) 576-7700

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1780701417
LBN Legal business name Healthsource Of Ohio, Inc.
DBA Doing business as Healthsource: Eastgate Pediatrics
Authorized official Marois, William
Entity Organization
Organization subpart 1 No
Enumeration date Mar 26th, 2007
Last updated Apr 30th, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780701417 NPPES
Ohio MEDICAID 0281707

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