RADIATION ONCOLOGY PSC; NPI #1164513339

Contact Information

RADIATION ONCOLOGY PSC

1000 BRECKENRIDGE STREET
SUITE 203
OWENSBORO, KY 42303-0876

Phone: 270-926-7228
Fax: 270-926-6559
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Radiation Oncology	2085R0001X	92	Physician/Radiation Oncology

Indicates primary specialty

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NPI Profile & details for RADIATION ONCOLOGY PSC

NPI Number 1164513339

LBN Legal business name RADIATION ONCOLOGY PSC

Authorized official TRISTAN BRIONES - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 09/27/2006

Last updated 08/22/2020 - About 6 years ago

Identifiers

KY	License #	17318
KY	Medicaid	65907636
KY	Other	000000040652	ANTHEM
KY	Other	260109	BLACK LUNG
KY	Other	50003514	PASSPORT HEALTH PLAN
KY	Other	RO 1278131	UMWA HEALTH & RETIREMENT

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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RADIATION ONCOLOGY PSC

Contact Information

Specialty

Radiation Oncology

NPI Profile & details for RADIATION ONCOLOGY PSC

Reviews for RADIATION ONCOLOGY PSC