NPIMap

Organization Active NPI

Buckeye Community Services, Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Logan, OH
National Provider Identifier
1003064205
Registry record updated Sep 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
BUCKEYE COMMUNITY SERVICES, INC.
Practice address
823 Walnut Dowler Rd
Logan, OH 43138-8548
Phone
(740) 385-9279
Fax
(740) 385-5439
NPI assigned
Sep 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Iris L Milliken
Title
Executive Director
Phone
(740) 286-5039

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

823 Walnut Dowler Rd
Logan, OH 43138-8548

Mailing address

PO Box 604
Jackson, OH 45640-0604
Phone (740) 286-5039

Other identifiers 1

IdentifierTypeStateIssuer
0504065MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Buckeye Community Services Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

823 Walnut Dowler Rd
Logan, OH 43138
Phone (740) 385-9279

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220400000000",
    "number": "1003064205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 604",
            "city": "JACKSON",
            "state": "OH",
            "postal_code": "456400604",
            "telephone_number": "740-286-5039",
            "fax_number": "740-286-8775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 WALNUT DOWLER RD",
            "city": "LOGAN",
            "state": "OH",
            "postal_code": "431388548",
            "telephone_number": "740-385-9279",
            "fax_number": "740-385-5439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKEYE COMMUNITY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-03",
        "last_updated": "2008-09-03",
        "status": "A",
        "authorized_official_last_name": "MILLIKEN",
        "authorized_official_first_name": "IRIS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "740-286-5039",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0504065",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Logan, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.