Healthcare Provider Details

I. General information

NPI: 1730394636
Provider Name (Legal Business Name): COUNTY OF BUTLER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2007
Last Update Date: 08/22/2023
Certification Date: 08/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 SOUTH THIRD STREET
HAMILTON OH
45011
US

IV. Provider business mailing address

301 SOUTH THIRD STREET
HAMILTON OH
45011
US

V. Phone/Fax

Practice location:
  • Phone: 513-863-1770
  • Fax: 513-863-4391
Mailing address:
  • Phone: 513-863-1770
  • Fax: 513-863-4391

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number30900000001
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: BRITTANEY GABBARD
Title or Position: DIRECTOR OF NURSING
Credential: MS, BSN, RN
Phone: 513-887-5251