GREATER LAFAYETTE HEALTH SERVICES; NPI #1508935552

Contact Information

GREATER LAFAYETTE HEALTH SERVICES

1425 UNITY PL
LAFAYETTE, IN 47905-5756

Phone: 765-447-7460
Fax:
Website:

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

Indicates primary specialty

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NPI Profile & details for GREATER LAFAYETTE HEALTH SERVICES

NPI Number 1508935552

LBN Legal business name GREATER LAFAYETTE HEALTH SERVICES

Authorized official TERRANCE WILSON - (CHIEF EXECUTIVE OFFICER)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/06/2006

Last updated 11/27/2007 - About 19 years ago

Identifiers

Other

000000311919

ANTHEM

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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