Butler County Community Health Consortium, Inc.
Organization Active NPI Federally Qualified Health Center (FQHC) · Oxford, OH
NPI 1760144943 · NPPES record last updated Nov 3, 2023
Key facts
- NPI
- 1760144943
- 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
- 400 W Sycamore St Ste B
Oxford, OH 45056-1168 - Phone
- (513) 454-1111
- NPI assigned
- Oct 6, 2021
- Organization subpart
- Yes
- Parent organization (as reported)
- BUTLER COUNTY COMMUNITY HEALTH CONSORTIUM, INC.
Authorized official
- Name
- Ryan Randall
- Title
- Cfo
- Phone
- (513) 454-1468
Other NPIs on the same Medicare enrollment 18
Practitioners 7
-
Lindsay C Burns, LPC
-
Sannuthi Vishalakumar, APRN.CNP
-
Caitlyn Davidson, LISW
-
Madison Hodapp, LSW
-
Kasey Lynn Prince, MSW, LSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
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 |
National Provider Directory
- Part of
- Butler County Community
Locations
400 W Sycamore St
Ste B
Oxford, OH 45056
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | |||
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
400 W Sycamore St Ste B
Oxford, OH 45056-1168
Mailing address
PO Box 837
Hamilton, OH 45012-0837
Phone (513) 454-1460
Other names
- PRIMARY HEALTH SOLUTIONS
Other providers in Oxford, 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.
- Merce Caballero
- Jodi L Calkins
- Susan Rose Callan
- Julie Campbell-Ruggaard
All providers in Oxford, 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 Nov 3, 2023. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.