PROGRESSIVE CANCER CARE LLC; NPI #1609984301

Contact Information

PROGRESSIVE CANCER CARE LLC

831 N THEATRE RD
MARION, IN 46952-1701

Phone: 765-662-4293
Fax:
Website:

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

Indicates primary specialty

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NPI Profile & details for PROGRESSIVE CANCER CARE LLC

NPI # 1609984301

LBN Legal business name PROGRESSIVE CANCER CARE LLC

Authorized official STEPHEN MUGHMAW - (EXECUTIVE DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/25/2006

Last updated 09/18/2014 - About 12 years ago

Identifiers

Medicaid

200507020

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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PROGRESSIVE CANCER CARE LLC

Contact Information

Specialty

Oncology, Radiation

NPI Profile & details for PROGRESSIVE CANCER CARE LLC

Reviews for PROGRESSIVE CANCER CARE LLC