Provider Demographics
NPI:1730394636
Name:COUNTY OF BUTLER
Entity type:Organization
Organization Name:COUNTY OF BUTLER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:
Authorized Official - First Name:BRITTANEY
Authorized Official - Middle Name:
Authorized Official - Last Name:GABBARD
Authorized Official - Suffix:
Authorized Official - Credentials:MS, BSN, RN
Authorized Official - Phone:513-887-5251
Mailing Address - Street 1:301 SOUTH THIRD STREET
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45011
Mailing Address - Country:US
Mailing Address - Phone:513-863-1770
Mailing Address - Fax:513-863-4391
Practice Address - Street 1:301 SOUTH THIRD STREET
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45011
Practice Address - Country:US
Practice Address - Phone:513-863-1770
Practice Address - Fax:513-863-4391
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COUNTY OF BUTLER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-05-14
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30900000001261QC1500X
251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0050779Medicaid
OH0050779Medicaid
OH0050779Medicaid