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PREMIER RADIATION ONCOLOGY INC. NPI 1174858039


NPI Information

NPI: 1174858039
Provider Name: PREMIER RADIATION ONCOLOGY, INC.
Classification: Radiology - 2085R0001X
Entity Type: Organization

Specialization: Radiation Oncology

Address:
2900 1ST AVE
HUNTINGTON, WV
ZIP 25702
Phone: (304) 526-1143
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PREMIER RADIATION ONCOLOGY, INC. is a radiation oncology radiology in Huntington, WV. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. PREMIER RADIATION ONCOLOGY, INC. NPI is 1174858039. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2900 1ST AVE
HUNTINGTON, WV
ZIP 25702-241
Phone: (304) 526-1143
Fax: (304) 526-8942

The provider's authorized official is Diane Miller .
The authorized official title is Billing Director and has the following contact phone number (973) 444-2664.

The enumeration date for this NPI number is 10/12/2009 and was last updated on 10/25/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0001XRadiologyRadiation Oncology11879WEST VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1PR9386471MEDICARE PINWEST VIRGINIA
2G72447MEDICARE UPINWEST VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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