CANCER INSTITUTE OF CAPE GIRARDEAU, LLC; NPI #1336228949

Contact Information

CANCER INSTITUTE OF CAPE GIRARDEAU, LLC

14 DOCTORS PARK
SUITE B
CAPE GIRARDEAU, MO 63703-4928

Phone: 573-334-2230
Fax: 573-651-6499
Website:

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

Indicates primary specialty

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NPI Profile & details for CANCER INSTITUTE OF CAPE GIRARDEAU, LLC

NPI Number 1336228949

LBN Legal business name CANCER INSTITUTE OF CAPE GIRARDEAU, LLC

Authorized official LESLIE LUTTRELL - (BILLER/CODER)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/03/2006

Last updated 08/22/2007 - About 19 years ago

Identifiers

Other

514063

HEALTHLINK PROVIDER ID

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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