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SKPR OH 1 LLC NPI 1740590397


NPI Information

NPI: 1740590397
Provider Name: SKPR OH 1 LLC

Doing Business As: SCIOTO COUNTY CANCER CENTER

Classification: Clinic/Center - 261QX0203X
Entity Type: Organization

Specialization: Oncology, Radiation

Address:
915 10TH ST
PORTSMOUTH, OH
ZIP 45662
Phone: (937) 386-0000
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SKPR OH 1 LLC is an oncology and radiation clinic center in Portsmouth, OH. SKPR OH 1 LLC NPI is 1740590397. The provider is registered as an organization entity type.
The provider Is Doing Business As Scioto County Cancer Center.

The provider's business location address is:

915 10TH ST
PORTSMOUTH, OH
ZIP 45662-152
Phone: (937) 386-0000
Fax: (937) 386-0009

The provider's authorized official is Prakash B Patel .
The authorized official title is Sole Member/manager and has the following contact phone number (937) 386-0000.

The enumeration date for this NPI number is 10/18/2010 and was last updated on 2/18/2011.


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
1261QX0203XClinic/CenterOncology, Radiation35053209OHIOYes

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
13100389MEDICAIDOHIO
29392871MEDICARE PINOHIO

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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