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CH050990 HEALTHSOURCE OF OHIO, INC. (Active)
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Main Details
Name
HEALTHSOURCE OF OHIO, INC.
Subdivision Name
HEALTHSOURCE OF OHIO, INC.
Type
HRSA-Funded Health Center
Site ID
H80-027599
340B ID
CH050990
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
424 WARDS CORNER STE 200
LOVELAND, OH 45140-6966
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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5/7/10 UPDATED PHYS ADD (WAS 400 TECHNE CENTER DRIVE, SUITE 402, MILFORD, OH); 12/3/07 UPDATED ENTITY NAME (WAS SOUTHERN OHIO HEALTH SERVICES NETWORK) 3/7/12-Changed contact person (was MISSY HANZEL)
03/07/2012
5/7/10 UPDATED PHYS ADD (WAS 400 TECHNE CENTER DRIVE, SUITE 402, MILFORD, OH); 12/3/07 UPDATED ENTITY NAME (WAS SOUTHERN OHIO HEALTH SERVICES NETWORK)
04/05/2011
May 2025
May 2025
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