| Butler County Community Health Consortium, Inc. | |
|
601 N Breiel Blvd Ste B Middletown OH 45042 | |
| (513) 454-1111 | |
| Not Available |
| Full Name | Butler County Community Health Consortium, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 601 N Breiel Blvd Ste B, Middletown, Ohio |
| Authorized Official Name and Position | Ryan G. Randall (CFO) |
| Authorized Official Contact | 5134541468 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Butler County Community Health Consortium, Inc. Po Box 837 Hamilton OH 45012-0837 Ph: (515) 454-1468 | Butler County Community Health Consortium, Inc. 601 N Breiel Blvd Ste B Middletown OH 45042 Ph: (513) 454-1111 |
| NPI Number | 1124504378 |
|---|---|
| Provider Enumeration Date | 07/11/2018 |
| Last Update Date | 11/03/2023 |
| Medicare PECOS PAC ID | 7810884780 |
|---|---|
| Medicare Enrollment ID | O20181005000784 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124504378 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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