Healthcare Provider Details

I. General information

NPI: 1134142631
Provider Name (Legal Business Name): BUTLER COUNTY COMMUNITY HEALTH CONSORTIUM INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2006
Last Update Date: 02/06/2025
Certification Date: 02/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1036 S VERITY PKWY
MIDDLETOWN OH
45044-5513
US

IV. Provider business mailing address

PO BOX 837
HAMILTON OH
45012-0837
US

V. Phone/Fax

Practice location:
  • Phone: 513-454-1460
  • Fax: 513-454-1484
Mailing address:
  • Phone: 513-445-4146
  • Fax: 513-454-1484

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: RYAN G RANDALL
Title or Position: CFO
Credential:
Phone: 513-454-1460