TRI-STATE RADIATION ONCOLOGY CENTERS LLC NPI 1225274244

NPI Information

NPI: 1225274244
Provider Name: TRI-STATE RADIATION ONCOLOGY CENTERS LLC
Classification: Clinic/Center - 261QX0203X
Entity Type: Organization

Specialization: Oncology, Radiation

Address:
700 N BURKHARDT RD
EVANSVILLE, IN
ZIP 47715
Phone: (812) 474-1110
Get Directions

TRI-STATE RADIATION ONCOLOGY CENTERS LLC is an oncology and radiation clinic center in Evansville, IN. TRI-STATE RADIATION ONCOLOGY CENTERS LLC NPI is 1225274244. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

700 N BURKHARDT RD
EVANSVILLE, IN
ZIP 47715-740
Phone: (812) 474-1110
Fax: (812) 474-1303

The provider's authorized official is Joe Chang .
The authorized official title is Chairperson and has the following contact phone number (310) 335-4000.

The enumeration date for this NPI number is 12/22/2008 and was last updated on 10/1/2009.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	2085R0001X	Radiology	Radiation Oncology	No
2	2085R0202X	Radiology	Diagnostic Radiology	No
3	261QX0203X	Clinic/Center	Oncology, Radiation	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	200926120A	MEDICAID	INDIANA
2	DP0313	OTHER	INDIANA	RR MEDICARE
3	200926120B	MEDICAID	INDIANA
4	259540	MEDICARE PIN	INDIANA

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: 4/28/2024

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