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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