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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
1291U00000XClinical Medical Laboratory
2261QP2300XPrimary Care Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134142631
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 : 513-445-4146
Fax Number : 513-454-1484
Provider Business Practice Location Address
First Line : 1036 S VERITY PKWY
Second Line :
City : MIDDLETOWN
State : OH
Zip : 45044-5513
Country : US
Telephone Number : 513-454-1460
Fax Number : 513-454-1484
Authorized Official
Title or Position : CFO
Name : RYAN G RANDALL
Credential :
Telephone Number : 513-454-1460
Provider Enumeration Date : 07/25/2006
Last Update Date : 02/06/2025

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