Butler County Community Health Consortium, Inc. | |
1036 S Verity Pkwy Middletown OH 45044-5513 | |
(513) 454-1460 | |
(513) 454-1484 |
Full Name | Butler County Community Health Consortium, Inc. |
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Speciality | Clinic/Center |
Location | 1036 S Verity Pkwy, Middletown, Ohio |
Authorized Official Name and Position | Ryan G Randall (CFO) |
Authorized Official Contact | 5134541460 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Butler County Community Health Consortium, Inc. Po Box 837 Hamilton OH 45012-0837 Ph: () - | Butler County Community Health Consortium, Inc. 1036 S Verity Pkwy Middletown OH 45044-5513 Ph: (513) 454-1460 |
NPI Number | 1700821386 |
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Provider Enumeration Date | 06/18/2006 |
Last Update Date | 11/03/2023 |
Medicare PECOS PAC ID | 7810884780 |
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Medicare Enrollment ID | O20051219000815 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700821386 | NPI | - | NPPES |
2597837 | Medicaid | OH | |
FWHCLA200 | Other | FQHC NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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Hisey Physician Services, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1 Medical Center Dr, Middletown, OH 45005 Phone: 513-974-2111 | |
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