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Contact Information

CANCER NETWORK OF WEST CENTRAL OHIO
2160 EWING CRAWFIS CIRCLE
BELLEFONTAINE, OH43311-9042
 Phone: 937-592-9221
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oncology, Radiation

261QX0203X
Indicates primary specialty

NPI Profile & details for CANCER NETWORK OF WEST CENTRAL OHIO

NPI Number 1932139607
LBN Legal business name CANCER NETWORK OF WEST CENTRAL OHIO
Authorized official CHRISTINE PROVAZNIK - (MANAGING EXECUTIVE)
Entity Organization
Organization subpart 1 Yes
Enumeration date 07/05/2006
Last updated 02/22/2008 - About 18 years ago
Identifiers
OH License # 1056RT
OH Medicaid 2429849
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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