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Prime Source Healthcare of Ohio

Debarred entity

Prime Source Healthcare of Ohio is an entity of interest. It has not been found on international sanctions lists.

Type	Company				[sources]
Name	Prime Source Healthcare of Ohio				[sources]
Incorporation date	not available				[sources]
Jurisdiction	not available				[sources]
Country	United States				[sources]
Description	Provider ID: 2734554				[sources]
NPI	`1033245824`				[sources]
Registration number	not available				[sources]
Sector	21 - Professional Medical Group				[sources]
Address	4449 Easton Way, FL 2, Columbus, OH 43219				[sources]
Last change	2025-05-01	Last processed	2025-12-01	First seen	2024-11-12

Sanctions
Country	Authority	Program	Start date	End date
United States	Ohio Department of Medicaid		2016-02-10	-

Address
Full address	Country
4449 Easton Way, FL 2, Columbus, OH 43219	United States

Medical providers excluded or suspended from Ohio's Medicaid program.

United States · ODM

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