CANCER NETWORK OF WEST CENTRAL OHIO; NPI #1053348904

Contact Information

CANCER NETWORK OF WEST CENTRAL OHIO

900 HAVEMANN ROAD
CELINA, OH 45822-1870

Phone: 419-584-1900
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Oncology, Radiation	261QX0203X

Indicates primary specialty

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NPI Profile & details for CANCER NETWORK OF WEST CENTRAL OHIO

NPI Number 1053348904

LBN Legal business name CANCER NETWORK OF WEST CENTRAL OHIO

Authorized official PAUL CLEMMENTS - (MANAGING EXECUTIVE)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 06/27/2006

Last updated 05/15/2019 - About 7 years ago

Identifiers

OH	License #	1055RT
OH	Medicaid	2429821

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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