SPRINGFIELD REGIONAL CANCER CENTER LLC NPI 1477546984

NPI Information

NPI: 1477546984
Provider Name: SPRINGFIELD REGIONAL CANCER CENTER, LLC
Classification: Clinic/Center - 261QX0203X
Entity Type: Organization

Specialization: Oncology, Radiation

CLIA Number: 36D0946599

Address:
148 W NORTH ST
SPRINGFIELD, OH
ZIP 45504
Phone: (937) 323-5001
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SPRINGFIELD REGIONAL CANCER CENTER, LLC is an oncology and radiation clinic center in Springfield, OH. SPRINGFIELD REGIONAL CANCER CENTER, LLC NPI is 1477546984. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

148 W NORTH ST
SPRINGFIELD, OH
ZIP 45504-547
Phone: (937) 323-5001
Fax: (937) 323-5413

The provider's authorized official is Rene Suntay .
The authorized official title is Vp, Chief Financial Officer and has the following contact phone number (937) 323-5001.

The CLIA number assigned to this NPI record is 36D0946599 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/30/2005 and was last updated on 9/11/2018.

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	License Number	License State	Primary
1	2471R0002X	Radiologic Technologist	Radiation Therapy	1097RT	OHIO	No
2	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	2468517	OTHER	OHIO	UHC PROVIDER #
2	=========002	OTHER	OHIO	MEDICAL MUTUAL PROVIDER #
3	7378615	OTHER	OHIO	AETNA PROVIDER #
4	=========026	OTHER	OHIO	CARESOURCE PROVIDER #
5	2516361	MEDICAID	OHIO
6	000000339942	OTHER	OHIO	ANTHEM BC/BS PROVIDER #

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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