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Organization

THE BUCKEYE RANCH, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LEIGH ANN TURNER (HR CREDENTIALING SPECIALIST)
(614) 396-6395
Entity
Organization

Contact information

Practice address
5665 HOOVER RD, GROVE CITY, OH 43123-9122
(614) 384-7798
(614) 384-7798
Mailing address
5665 HOOVER ROAD, GROVE CITY, OH 43123
(614) 875-2371
(614) 875-2366

Taxonomy

Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
12433
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2863718
OHIO MITS PROVIDER ID
OH
01
3153/12433
STATE OF OHIO MACIL UPI #
OH
Enumeration date
05/15/2012
Last updated
09/25/2023
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