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WEST MICHIGAN CANCER CENTER NPI 1588778484


NPI Information

NPI: 1588778484
Provider Name: WEST MICHIGAN CANCER CENTER

Doing Business As: WEST MICHIGAN CANCER CENTER RADIATION ONCOLOGY

Classification: Radiology - 2085R0001X
Entity Type: Organization

Specialization: Radiation Oncology

Address:
200 N PARK ST
KALAMAZOO, MI
ZIP 49007
Phone: (269) 382-2500
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WEST MICHIGAN CANCER CENTER is a radiation oncology radiology in Kalamazoo, MI. 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. WEST MICHIGAN CANCER CENTER NPI is 1588778484. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As West Michigan Cancer Center Radiation Oncology.

The provider's business location address is:

200 N PARK ST
KALAMAZOO, MI
ZIP 49007-731
Phone: (269) 382-2500

The provider's authorized official is Joseph Mirro .
The authorized official title is President/ceo/cmo and has the following contact phone number (269) 382-2500.

The enumeration date for this NPI number is 8/18/2006 and was last updated on 11/30/2011.


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
1363A00000XPhysician AssistantNo
2363L00000XNurse PractitionerNo
32085R0001XRadiologyRadiation OncologyYes

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
1320C91143OTHERBCBSM
20N66670MEDICARE PINMICHIGAN
3320C960590OTHERBCBSM
42430038OTHERUHC
50N66660MEDICARE PINMICHIGAN

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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