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Contact Information

NORTH STATE CANCER SPECIALTY INC
2510 AIRPARK DR
SUITE 103
REDDING, CA96001
 Phone: 530-242-8822
 Fax: 530-242-0849
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for NORTH STATE CANCER SPECIALTY INC

NPI # 1396701546
LBN Legal business name NORTH STATE CANCER SPECIALTY INC
Authorized official JED FREEMAN - (PRES)
Entity Organization
Organization subpart 1 No
Enumeration date 04/25/2006
Last updated 03/03/2009 - About 17 years ago
Identifiers
CA License # G73860
OH License # 35-056102F
CA Medicaid 00G738600
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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