| The Buckeye Ranch, Inc | |
|
4653 E Main St Whitehall OH 43213-3298 | |
| (614) 384-7798 | |
| (614) 384-7703 |
| Full Name | The Buckeye Ranch, Inc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 4653 E Main St, Whitehall, Ohio |
| Authorized Official Name and Position | Leigh Ann Turner (HR CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 6145396639 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Buckeye Ranch, Inc 4653 E Main St Whitehall OH 43213-3298 Ph: (614) 384-7798 | The Buckeye Ranch, Inc 4653 E Main St Whitehall OH 43213-3298 Ph: (614) 384-7798 |
| NPI Number | 1649230236 |
|---|---|
| Provider Enumeration Date | 03/27/2006 |
| Last Update Date | 10/25/2022 |
| Certification Date | 10/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649230236 | NPI | - | NPPES |
| 2864235 | Other | OH | OHIO MITS PROVIDER |
| 3153 | Other | OH | MACSIS UPI |
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