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NPI Code Detail

MEDICARE: BUTLER COUNTY COMMUNITY HEALTH CONSORTIUM, INC.

MEDICARE: BUTLER COUNTY COMMUNITY HEALTH CONSORTIUM, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QF0400XFederally Qualified Health Center (FQHC)

General Provider Information

NPI Number : 1154253870
Entity Type Code : Organization
Provider Name (Legal Business Name) : BUTLER COUNTY COMMUNITY HEALTH CONSORTIUM, INC.
Provider Business Mailing Address
First Line : PO BOX 837
Second Line :
City : HAMILTON
State : OH
Zip : 45012-0837
Country : US
Telephone Number : 513-820-0432
Fax Number :
Provider Business Practice Location Address
First Line : 141 W 3RD ST
Second Line :
City : DAYTON
State : OH
Zip : 45402-1814
Country : US
Telephone Number : 513-454-1111
Fax Number : 513-737-1592
Authorized Official
Title or Position : CEO
Name : STEPHEN JOSEPH ROLLER
Credential :
Telephone Number : 513-454-1467
Provider Enumeration Date : 05/29/2026
Last Update Date : 05/29/2026

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