Healthcare Provider Details

I. General information

NPI: 1275498800
Provider Name (Legal Business Name): BUCKEYE RIVER MEDICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

440 RIDGEWOOD BLVD
BELPRE OH
45714-8224
US

IV. Provider business mailing address

440 RIDGEWOOD BLVD
BELPRE OH
45714-8224
US

V. Phone/Fax

Practice location:
  • Phone: 740-706-2259
  • Fax: 740-706-2259
Mailing address:
  • Phone: 740-706-2259
  • Fax: 740-706-2259

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: MR. JEFFREY BUCY
Title or Position: OWNER
Credential: RRT-NPS
Phone: 740-706-2259