National Provider Identifier Database

MISSOURI CANCER ASSOCIATES LLC
Oncology

An entity, facility, or distinct part of a facility providing diagnostic, treatment and prescriptive services related to cancerous conditions. Services include chemotherapy infusions and monitoring of implanted chemotherapeutic agents.


Contact Information

MISSOURI CANCER ASSOCIATES LLC
1705 E BROADWAY
SUITE 100
COLUMBIA, MO65201-5852
Phone: 573-874-7800
Fax: 573-443-3627
Website:
Specialty Taxonomy Code
* Oncology 261QX0200X

* Indicates primary specialty

NPI Profile & details for MISSOURI CANCER ASSOCIATES LLC

NPI Number 1215947338
Legal business name
LBN
MISSOURI CANCER ASSOCIATES LLC
Authorized official ANDREW ILIFF - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 08/09/2006
Last updated 02/17/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • MO Medicaid: 501811509
  • MO Medicaid: 509696605

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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