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Contact Information

VANDERBILT-INGRAM CANCER CENTER CLARKSVILLE, LLC
375 ALFRED THUN RD
CLARKSVILLE, TN37040-5339
 Phone: 931-221-0479
 Fax: 931-221-3280
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for VANDERBILT-INGRAM CANCER CENTER CLARKSVILLE, LLC

NPI # 1295832525
LBN Legal business name VANDERBILT-INGRAM CANCER CENTER CLARKSVILLE, LLC
Authorized official KAREN MUNYON - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 09/20/2006
Last updated 02/04/2026 - About 4 months ago
Identifiers
TN Medicaid 3733547
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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