Provider Demographics
NPI:1407995939
Name:PREXUS HEALTH PARTNERS LLC
Entity Type:Organization
Organization Name:PREXUS HEALTH PARTNERS LLC
Other - Org Name:BUTLER COUNTY MEDICAL EQUIPMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP MANAGED CARE
Authorized Official - Prefix:
Authorized Official - First Name:ROBYN
Authorized Official - Middle Name:
Authorized Official - Last Name:FINNEGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-454-1428
Mailing Address - Street 1:3055 HAMILTON MASON RD
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45011-5307
Mailing Address - Country:US
Mailing Address - Phone:513-454-3050
Mailing Address - Fax:513-454-3053
Practice Address - Street 1:3055 HAMILTON MASON RD
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45011-5307
Practice Address - Country:US
Practice Address - Phone:513-454-3050
Practice Address - Fax:513-454-3053
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-05
Last Update Date:2009-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1455332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH5866130001Medicare NSC