NPIMap

Organization Active NPI

Butler County Community Health Consortium Inc

  • Federally Qualified Health Center (FQHC)
  • Hamilton, OH
National Provider Identifier
1568489359
Registry record updated Jun 23, 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
Practice address
210 S 2ND St
Hamilton, OH 45011-2811
Phone
(513) 454-1460
Fax
(513) 454-1484
NPI assigned
Jul 16, 2006
Last updated
Jun 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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

Authorized official

Name
Ryan G Randall
Title
Cfo
Phone
(513) 454-1468

Specialties & licenses 1

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

Addresses

Primary practice location

210 S 2ND St
Hamilton, OH 45011-2811

Mailing address

PO Box 837
Hamilton, OH 45012-0837
Phone (513) 454-1460

Other identifiers 2

IdentifierTypeStateIssuer
2608244MedicaidOH
FWHCLA200OtherFQHC NUMBER

Other names 1

  • Bever Health Center Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051219000670 OH Part A Provider - Federally Qualified Health Center (FQHC) 7810884780 Practice locations: Hamilton, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1568489359. Details of each certification follow.

Federally qualified health center certification: CCN 361910

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 10, 2006
Last certification
Feb 10, 2006
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
Jan 28, 2000 in OH
Enrollment address
210 South Second Street
Hamilton, OH 45011-2811

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

National Provider Directory

National Provider Directory
Tax ID family
Butler County Community129 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

210 S 2nd St
Hamilton, OH 45011
Phone (513) 454-1460

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 Mar 1, 2026
Chad Creech Individual Corporate DirectorPresident Mar 1, 2026
Monica Scalf Individual Corporate DirectorTrustee Mar 1, 2026
Gustavo Cocina Individual Corporate DirectorTrustee Mar 1, 2026
William Andrew Groth Individual Corporate DirectorSecretary Dec 19, 2005
Samuel Broyles Individual Corporate DirectorTrustee Mar 1, 2026
Arvind Joshi Individual Corporate DirectorTreasurer Mar 1, 2026
Cynamon Trokhan Individual Corporate DirectorVice President Mar 1, 2026
Sandra Rutledge Individual Corporate DirectorTrustee Mar 1, 2026
Ashley Banks Individual W-2 Managing EmployeePayer Enrollment Specialist Nov 25, 2019
Elizabeth Mohr Individual Corporate OfficerCfo Apr 20, 2026
Dennis Kidd Individual Corporate DirectorTrustee Mar 1, 2026
Stephen J Roller Individual Corporate OfficerCeo Jul 1, 2022
Michelle Miller Individual Corporate DirectorTrustee Mar 1, 2026

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 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750636800000",
    "number": "1568489359",
    "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": "513-454-1460",
            "fax_number": "513-454-1484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S 2ND ST",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450112811",
            "telephone_number": "513-454-1460",
            "fax_number": "513-454-1484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUTLER COUNTY COMMUNITY HEALTH CONSORTIUM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A",
        "authorized_official_last_name": "RANDALL",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "513-454-1468"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2608244",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FQHC NUMBER",
            "identifier": "FWHCLA200",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bever Health Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Bever Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hamilton, OH

Sources for this page

Verify at the official NPI Registry.