Organization
BUCKEYE CLINIC
Active
Parent organization
BUCKEYE CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BUCKEYE CLINIC
Authorized official
MANOJ SINHA (MANAGER/ OWNER)
(614) 792-6242
Entity
Organization
Contact information
Practice address
3121 W BROAD ST, COLUMBUS, OH 43204-1306
(614) 869-2002
Mailing address
6805 AVERY MUIRFIELD DRIVE, SUITE 103, DUBLIN, OH 43016-7180
(614) 534-1100
(614) 792-6240
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0263169
—
OH
Enumeration date
03/25/2021
Last updated
02/09/2024
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