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Contact Information

CANCER CENTERS OF SOUTHWEST OKLAHOMA, LLC
1200 E BROADWAY ST
ALTUS, OK73521-5702
 Phone: 580-480-4400
 Fax: 580-480-4416
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
 

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for CANCER CENTERS OF SOUTHWEST OKLAHOMA, LLC

NPI # 1609041136
LBN Legal business name CANCER CENTERS OF SOUTHWEST OKLAHOMA, LLC
Authorized official JAMES HOOTON - (CHEIF OPERATING OFFICER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 04/25/2008
Last updated 06/07/2024 - More than a year ago
Identifiers
OK Medicaid 200280260C
OK Medicaid 200280260E
OK Other 6502330002 NSC
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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