NPIMap

Organization Active NPI

Butler County Community Health Consortium, Inc.

Doing business as Primary Health Solutions

  • Federally Qualified Health Center (FQHC)
  • Oxford, OH
National Provider Identifier
1780346965
Registry record updated Nov 3, 2023
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
5200 Hamilton Richmond Rd Ste B
Oxford, OH 45056-9433
Phone
(513) 454-1111
NPI assigned
Oct 6, 2021
Last updated
Nov 3, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
BUTLER COUNTY COMMUNITY HEALTH CONSORTIUM, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Authorized official

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary
Mental Health Counselor 101YM0800X NU

Addresses

Primary practice location

5200 Hamilton Richmond Rd Ste B
Oxford, OH 45056-9433

Mailing address

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

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
O20211020001439 OH Part A Provider - Federally Qualified Health Center (FQHC) 7810884780 Practice locations: Oxford, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1780346965. Details of each certification follow.

Federally qualified health center certification: CCN 721935

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
Jan 12, 2022
Last certification
Jan 12, 2022
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Sep 13, 2021 in OH
Enrollment address
5200 Hamilton Richmond Rd
Oxford, OH 45056-9433

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
Part of
Butler County Community

Locations

10 N Locust St
Ste A
Oxford, OH 45056
Phone 5134541111 ext. 41111

400 W Sycamore St
Ste B
Oxford, OH 45056

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 Jan 1, 2020
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 EmployeeCredentialing 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 69

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 69

NPI Registry JSON

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

{
    "created_epoch": "1633478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698969600000",
    "number": "1780346965",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 HAMILTON RICHMOND RD STE B",
            "city": "OXFORD",
            "state": "OH",
            "postal_code": "450569433",
            "telephone_number": "513-454-1111"
        }
    ],
    "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": "2021-10-06",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A",
        "authorized_official_last_name": "RANDALL",
        "authorized_official_first_name": "RYAN",
        "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
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 Oxford, OH

Sources for this page

Verify at the official NPI Registry.