Covered Entity Details

CH05099E HEALTHSOURCE OF OHIO, INC. (Active)

Main Details

Name

HEALTHSOURCE OF OHIO, INC.

Subdivision Name

HealthSource Loveland

Type

HRSA-Funded Health Center

Site ID

BPS-H80-013589

340B ID

CH05099E

Grant Number

H80CS00201

Additional Details

Current Program Status

Active

Registration Date

10/1/1998

Participating Start Date

10/1/1998

Participating Approval Date

6/16/2005

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

6535 Charles Snider Rd
Loveland, OH 45140-9588

Billing Address

HEALTHSOURCE OF OHIO, INC.
424 WARDS CORNER STE 200
LOVELAND, OH 45140-6966

Comment	Last Updated On
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5/4/11 ADDED SHIP-TO ADD; 4/5/11 UPDATED SUBDIV NAME (WAS GOSHEN FAMILY PRACTICE), ADDED BILL-TO ADD; 12/3/07 UPDATED ENTITY NAME (WAS SOUTHERN OHIO HEALTH SERVICES NETWORK) 3/7/12-Changed contact person (was MISSY HANZEL)	03/07/2012
5/4/11 ADDED SHIP-TO ADD; 4/5/11 UPDATED SUBDIV NAME (WAS GOSHEN FAMILY PRACTICE), ADDED BILL-TO ADD; 12/3/07 UPDATED ENTITY NAME (WAS SOUTHERN OHIO HEALTH SERVICES NETWORK)	05/04/2011

340B Drug Pricing Program Database