MT VERNON RADIATION THERAPY CENTER; NPI #1952477028

Contact Information

MT VERNON RADIATION THERAPY CENTER

4117 VETERANS MEMORIAL DR
MOUNT VERNON, IL 62864-6262

Phone: 618-241-1827
Fax:
Website:

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

Indicates primary specialty

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NPI Profile & details for MT VERNON RADIATION THERAPY CENTER

NPI Number 1952477028

LBN Legal business name MT VERNON RADIATION THERAPY CENTER

Authorized official RICHARD HUNTINGTON - (VICE PRESIDENT BUSINESS DEVELOPMENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/28/2006

Last updated 07/21/2022 - About 4 years ago

Identifiers

IL	Other	4132037	BLUE CROSS BLUE SHIELD
IL	Other	276923	GROUP HEALTH PLAN

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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MT VERNON RADIATION THERAPY CENTER

Contact Information

Specialty

Oncology, Radiation

NPI Profile & details for MT VERNON RADIATION THERAPY CENTER

Reviews for MT VERNON RADIATION THERAPY CENTER