Healthcare Provider Details

I. General information

NPI: 1184673931
Provider Name (Legal Business Name): BUTLER COUNTY ANCILLARY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2006
Last Update Date: 11/04/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3075 HAMILTON MASON RD
HAMILTON OH
45011-5307
US

IV. Provider business mailing address

3075 HAMILTON MASON RD
HAMILTON OH
45011-5307
US

V. Phone/Fax

Practice location:
  • Phone: 513-454-1400
  • Fax:
Mailing address:
  • Phone: 513-454-1400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QS1200X
TaxonomySleep Disorder Diagnostic Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ROBYN FINNEGAN
Title or Position: VICE PRESIDENT MANAGED CARE
Credential:
Phone: 513-454-1428