Butler County Community Health Consortium, Inc.
Organization Active NPI Federally Qualified Health Center (FQHC) · Dayton, OH
NPI 1497316855 · NPPES record last updated Sep 29, 2025
Key facts
- NPI
- 1497316855
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- BUTLER COUNTY COMMUNITY HEALTH CONSORTIUM, INC.
- Practice address
- 165 E. Edwin C. Moses
Blvd
Dayton, OH 45402 - Phone
- (937) 535-5060
- NPI assigned
- Jun 26, 2019
- Organization subpart
- Yes
- Parent organization (as reported)
- BUTLER COUNTY COMMUNITY HEALTH CONSORTIUM INC
Authorized official
- Name
- Stephen Roller
- Title
- Ceo
- Phone
- (513) 454-1460
Owners & managing parties with NPI records 1
-
Stephen Joseph Roller, C.N.P.
Other NPIs on the same Medicare enrollment 18
Other NPIs with the same Medicare PAC ID 18
Corporate family (same tax ID) 24
Practitioners 78
-
Lindsay C Burns, LPC
-
Alicia M Collins, FNP-C
-
Brooke Fey, MSW, LISW
-
Amy Stiver, MSW, LSW
-
Alex Bunce, D.O.
-
Micah R Davis, D.O.
-
James A Schoen, D.O.
-
Lovepreet Kaur Ahluwalia, FNP-C
-
Crystal Allen, MSW, LISW
-
Stephanie Babb, LSW
-
Kara Marie Beckman, APRN, PMHNP-BC
-
Krystal Bellamy, MSN, APRN, CNP
-
Robert E Brown Jr., LPCC-S
-
Kara Carroll, PA-C
-
Julie A Cianchetti-Bridgeford, C.N.P.
-
Michelle R Cooley, APRN
-
Caitlyn Davidson, LISW
-
Jake Elmlinger, CNP
-
John Wesley Greene, CNP
-
John T Harlan, M.D.
-
Kellee Haslon, CNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OH
Federally qualified health center certification: CCN 721846
- Legal name
- BUTLER COUNTY COMMUNITY HEALTH CONSORTIUM INC
- Doing business as
- PRIMARY HEALTH SOLUTIONS
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Feb 19, 2020
- Last certification
- Feb 19, 2020
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation · Non-profit
- Incorporated
- Nov 20, 2019 in OH
- Enrollment address
- 165 S Edwin C Moses Blvd
Ste 100
Dayton, OH 45402-8472
All disclosed owners & managing parties 14
| Name | Role | Since | Share |
|---|---|---|---|
| Josue Colon |
Corporate Director |
Jan 1, 2024 | |
| Chad Creech |
Corporate Director |
Jan 1, 2024 | |
| Monica Scalf |
Corporate Director |
Mar 1, 2026 | |
| Gustavo Cocina |
Corporate Director |
Jan 1, 2020 | |
| William Andrew Groth |
Corporate Director |
Jan 1, 2024 | |
| Samuel Broyles |
Corporate Director |
Mar 1, 2026 | |
| Arvind Joshi |
Corporate Director |
Jan 1, 2024 | |
| Cynamon Trokhan |
Corporate Director |
Jan 1, 2020 | |
| Sandra Rutledge |
Corporate Director |
Jan 1, 2024 | |
| Ashley Banks |
W-2 Managing Employee |
Nov 25, 2019 | |
| Elizabeth Mohr |
Corporate Officer |
Apr 20, 2026 | |
| Dennis Kidd |
Corporate Director |
Jan 1, 2020 | |
| Stephen J Roller |
Operational/Managerial Control |
Jan 1, 2024 | |
| Michelle Miller |
Corporate Director |
Jan 1, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040304000056 | OH | Part B Supplier - Clinic/Group Practice | 7810884780 |
Receives reassigned benefits from 58 practitioners 18 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Fairfield Township, OH; Trenton, OH; Oxford, OH; Middletown, OH; Hamilton, OH; Dayton, OH; Fairfield, OH |
| O20200221000428 | OH | Part a Provider - Federally Qualified Health Center (FQHC) | 7810884780 | Practice locations: Dayton, OH |
National Provider Directory
- Tax ID family
- Butler County Community
- Part of
- Butler County Community
Locations
300 Forest Ave
Dayton, OH 45405
Phone (937) 438-6465
300 High St
Hamilton, OH 45011
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
165 E. Edwin C. Moses
Blvd
Dayton, OH 45402
Mailing address
PO Box 837
Hamilton, OH 45012-0837
Phone (513) 869-4917
Other names
- Primary Health Solutions
Other providers in Dayton, OH
- Butler County Community Health Consortium, Inc.
- Butler County Community Health Consortium, Inc.
- Butler County Community Health Consortium, Inc.
- Butler County Community Health Consortium, Inc.
- Butler County Community Health Consortium, Inc.
- Butler County Community Health Consortium, Inc.
- Butler County Community Health Consortium, Inc.
- Butler County Community Health Consortium, Inc.
- Butler County Community Health Consortium, Inc.
- Butler County Community Health Consortium, Inc.
All providers in Dayton, OH · Federally Qualified Health Center (FQHC) in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.