GRAND RAPIDS RADIATION ONCOLOGY PC NPI 1679614424

NPI Information

NPI: 1679614424
Provider Name: GRAND RAPIDS RADIATION ONCOLOGY PC
Classification: Radiology - 2085R0203X
Entity Type: Organization

Specialization: Therapeutic Radiology

Address:
250 CHERRY
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 752-6218
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GRAND RAPIDS RADIATION ONCOLOGY PC is a therapeutic radiology radiology in Grand Rapids, MI. GRAND RAPIDS RADIATION ONCOLOGY PC NPI is 1679614424. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

250 CHERRY
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 752-6218
Fax: (616) 774-8960

The provider's authorized official is James M Kane .
The authorized official title is President and has the following contact phone number (616) 897-0995.

The enumeration date for this NPI number is 2/12/2007 and was last updated on 7/12/2007.

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	2085R0203X	Radiology	Therapeutic Radiology		MICHIGAN	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	1005578	OTHER	MICHIGAN	CHP
2	0M02130	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN	PROVIDER ID
3	0D11351	OTHER	MICHIGAN	BCBSM

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

NPI Synchronization or Removal

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