BUCKEYE CLINIC
NPI 1174115034
Clinic/Center - Rehabilitation, Substance Use Disorder in Columbus, OH

Active since February 10, 2021CLIA Certified · 2 labs
3121 W BROAD ST, COLUMBUS, OH 43204(614) 869-2002 Get Directions Write a Review

NPPES record last updated: February 9, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 9, 2024, Apr 8, 2021, Feb 10, 2021 (3 updates tracked since 2021).

About Buckeye Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BUCKEYE CLINIC (NPI 1174115034) is a healthcare organization registered as a rehabilitation, substance use disorder in Columbus, Ohio and active in the NPI registry since February 2021. The organization holds 2 active CLIA laboratory certificates, maintains 2 additional practice locations, and lists Manoj Sinha, Ceo, as its authorized official.

NPPES Registry Identity

NPI1174115034
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameBUCKEYE CLINIC
Location Address3121 W BROAD STColumbus, OH 43204-1306
Mailing Address6805 Avery Muirfield Dr Ste 103Dublin, OH 43016-7182 · (614) 792-6242
Organization SubpartNo
Authorized OfficialManoj SinhaCeo · (614) 792-6242
Enumeration DateFebruary 10, 2021
Last NPPES UpdateFebruary 9, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2024
NPI 1174115034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
3121 W BROAD ST, Columbus, OH 43204

Secondary Practice Locations 2

Location 1231 Lafayette StLondon, OH 43140-8567 · Phone (614) 901-0844
Location 26805 Avery Muirfield Dr Ste 103Dublin, OH 43016-7182 · Phone (614) 792-6242

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D2341399

Buckeye Clinic LLC · Columbus, OH
Active · expires Mar 31, 2028
CLIA Number36D2341399
Laboratory TypePhysician Office
Certificate Effective DateApril 1, 2026
Certificate Expiration DateMarch 31, 2028
Laboratory DirectorDavid J. Wells
Laboratory Phone(614) 869-2002
Laboratory LocationBuckeye Clinic LLC2980 W Broad St, Columbus, OH 43204
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 36D2302127

Buckeye Clinic · Columbus, OH
Active · expires Apr 3, 2028
CLIA Number36D2302127
Laboratory TypePhysician Office
Certificate Effective DateApril 4, 2026
Certificate Expiration DateApril 3, 2028
Laboratory DirectorDavid J. Wells
Laboratory Phone(714) 706-4700
Laboratory LocationBuckeye Clinic40 S James Rd, Columbus, OH 43213
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
3121 W BROAD ST
COLUMBUS, OH 43204
Counselor (Addiction (Substance Use Disorder))
3121 W BROAD ST
COLUMBUS, OH 43204
Counselor
3121 W BROAD ST
COLUMBUS, OH 43204
Counselor (Addiction (Substance Use Disorder))
3121 W BROAD ST
COLUMBUS, OH 43204
Peer Specialist
3121 W BROAD ST
COLUMBUS, OH 43204
Counselor (Addiction (Substance Use Disorder))
3121 W BROAD ST
COLUMBUS, OH 43204
Licensed Practical Nurse
3121 W BROAD ST
COLUMBUS, OH 43204
Peer Specialist
3121 W BROAD ST
COLUMBUS, OH 43204

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Buckeye Clinic's NPI number?

The NPI number for Buckeye Clinic is 1174115034. It was assigned to this organization in the NPPES registry on February 10, 2021.

Where is Buckeye Clinic located?

Buckeye Clinic is located at 3121 W Broad St, Columbus, OH 43204. The listed phone number is (614) 869-2002.

What is Buckeye Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Does Buckeye Clinic hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Buckeye Clinic accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Buckeye Clinic as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Buckeye Clinic was last updated on February 9, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.