NPIMap

Organization Active NPI

Butler County Community Health Consortium, Inc.

Doing business as Primary Health Solutions

  • Federally Qualified Health Center (FQHC)
  • Dayton, OH
National Provider Identifier
1497316855
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
BUTLER COUNTY COMMUNITY HEALTH CONSORTIUM, INC.
Doing business as
Primary Health Solutions
Practice address
165 E. Edwin C. Moses
Blvd
Dayton, OH 45402
Phone
(937) 535-5060
NPI assigned
Jun 26, 2019
Last updated
Sep 29, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
BUTLER COUNTY COMMUNITY HEALTH CONSORTIUM INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Stephen Roller
Title
Ceo
Phone
(513) 454-1460

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

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 1

  • Primary Health Solutions Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1497316855. Details of each certification follow.

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
CorporationNon-profit
Incorporated
Nov 20, 2019 in OH
Enrollment address
165 S Edwin C Moses Blvd
Ste 100
Dayton, OH 45402-8472

Other NPIs with the same Medicare PAC ID 18

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 18

Other NPIs on the same Medicare enrollment 18

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 18

National Provider Directory

National Provider Directory
Tax ID family
Primary Health Solutions30 organizations share this tax ID, including this one
Part of
Primary Health Solutions

Other organizations with this tax ID 29

Organizations that report the same tax identification number in the National Provider Directory.

View all 29

Locations

300 High St
Hamilton, OH 45011

Ownership & related parties

All disclosed owners & managing parties 14

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Josue Colon Individual Corporate DirectorTrustee Jan 1, 2024
Chad Creech Individual Corporate DirectorPresident Jan 1, 2024
Monica Scalf Individual Corporate DirectorTrustee Mar 1, 2026
Gustavo Cocina Individual Corporate DirectorTrustee Jan 1, 2020
William Andrew Groth Individual Corporate DirectorSecretary Jan 1, 2024
Samuel Broyles Individual Corporate DirectorTrustee Mar 1, 2026
Arvind Joshi Individual Corporate DirectorTreasurer Jan 1, 2024
Cynamon Trokhan Individual Corporate DirectorVice President Jan 1, 2020
Sandra Rutledge Individual Corporate DirectorTrustee Jan 1, 2024
Ashley Banks Individual W-2 Managing EmployeeCredentialing Specialist Nov 25, 2019
Elizabeth Mohr Individual Corporate OfficerCfo Apr 20, 2026
Dennis Kidd Individual Corporate DirectorTrustee Jan 1, 2020
Stephen J Roller Individual Operational/Managerial ControlCeo Owner Jan 1, 2024
Michelle Miller Individual Corporate DirectorTrustee Jan 1, 2024

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 27

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 27

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759104000000",
    "number": "1497316855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 837",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450120837",
            "telephone_number": "513-869-4917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 E. EDWIN C. MOSES",
            "address_2": "BLVD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45402",
            "telephone_number": "937-535-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUTLER COUNTY COMMUNITY HEALTH CONSORTIUM, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BUTLER COUNTY COMMUNITY HEALTH CONSORTIUM INC",
        "enumeration_date": "2019-06-26",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A",
        "authorized_official_last_name": "ROLLER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "513-454-1460"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Primary Health Solutions",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Primary Health Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.