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CH05099I HEALTHSOURCE OF OHIO, INC. (Active)
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Main Details
Name
HEALTHSOURCE OF OHIO, INC.
Subdivision Name
HealthSource Hillsboro
Type
HRSA-Funded Health Center
Site ID
BPS-H80-011924
340B ID
CH05099I
Grant Number
H80CS00201
Additional Details
Current Program Status
Active
Registration Date
12/3/2007
Participating Start Date
1/1/2008
Participating Approval Date
12/5/2007
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
HEALTHSOURCE OF OHIO INC
Sam Rotunna, Vice President, Pharmacy Services
(513) 732-5084
Primary Contact
HEALTHSOURCE OF OHIO INC
Lisa Jackson, VP of Marketing and Development
(513) 576-7700
Addresses
Street Address
1108 Northview Dr
Hillsboro, OH 45133-1184
Billing Address
HEALTHSOURCE OF OHIO, INC.
424 WARDS CORNER STE 200
LOVELAND, OH 45140-6966
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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4/5/11 ADDED BILL-TO ADD 3/7/12-Changed contact person (was MISSY HANZEL)
03/07/2012
4/5/11 ADDED BILL-TO ADD
04/05/2011
April 2025
April 2025
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