Provider Demographics
NPI:1497316855
Name:BUTLER COUNTY COMMUNITY HEALTH CONSORTIUM INC
Entity Type:Organization
Organization Name:BUTLER COUNTY COMMUNITY HEALTH CONSORTIUM INC
Other - Org Name:PRIMARY HEALTH SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ROLLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-454-1460
Mailing Address - Street 1:PO BOX 837
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45012-0837
Mailing Address - Country:US
Mailing Address - Phone:513-869-4917
Mailing Address - Fax:
Practice Address - Street 1:165 E. EDWIN C. MOSES
Practice Address - Street 2:BLVD
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45402
Practice Address - Country:US
Practice Address - Phone:937-535-5060
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BUTLER COUNTY COMMUNITY HEALTH CONSORTIUM INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-06-26
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)