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Contact Information

CANCER CARE GROUP PC
801 N STATE ST
STE 50
GREENFIELD, IN46140-1270
 Phone: 317-325-2273
 Fax: 317-325-2777
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
 

Nuclear Medicine

207U00000X 36 Physician/Nuclear Medicine
Indicates primary specialty

NPI Profile & details for CANCER CARE GROUP PC

NPI Number 1639575491
LBN Legal business name CANCER CARE GROUP PC
Authorized official STEPHEN FREELAND - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 11/06/2014
Last updated 11/06/2014 - About 12 years ago
Identifiers
IN License # 50004183A
IN Medicaid 200259350
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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