Organization
THE BUCKEYE RANCH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEIGH ANN TURNER (HR CREDENTIALING SPECIALIST)
(614) 539-6639
Entity
Organization
Contact information
Practice address
4653 E MAIN ST, WHITEHALL, OH 43213-3298
(614) 384-7798
(614) 384-7703
Mailing address
4653 E MAIN ST, WHITEHALL, OH 43213-3298
(614) 384-7798
(614) 384-7703
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
0153
OH
323P00000X
Psychiatric Residential Treatment Facility
1469, 1642
OH
3245S0500X
Children's Substance Abuse Rehabilitation Facility
03153
OH
385HR2055X
Child Mental Illness Respite Care
1642
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2864235
OHIO MITS PROVIDER
OH
01
—
3153
MACSIS UPI
OH
Enumeration date
03/27/2006
Last updated
10/25/2022
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