Provider Demographics
NPI:1659320216
Name:PREXUS HEALTH PARTNERS, LLC.
Entity Type:Organization
Organization Name:PREXUS HEALTH PARTNERS, LLC.
Other - Org Name:BUTLER COUNTY MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CAMPUS ADMINISTARTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:O
Authorized Official - Last Name:TELEHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-894-8888
Mailing Address - Street 1:3125 HAMILTON-MASON ROAD
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45011
Mailing Address - Country:US
Mailing Address - Phone:513-894-8888
Mailing Address - Fax:513-895-1247
Practice Address - Street 1:3125 HAMILTON MASON ROAD
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45011
Practice Address - Country:US
Practice Address - Phone:513-894-8888
Practice Address - Fax:513-895-1247
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-09
Last Update Date:2011-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2527199Medicaid
OH2527199Medicaid