MISSOURI CANCER ASSOCIATES LLC; NPI #1215947338

Contact Information

MISSOURI CANCER ASSOCIATES LLC

1705 E BROADWAY
SUITE 100
COLUMBIA, MO 65201-5852

Phone: 573-874-7800
Fax: 573-443-3627
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Oncology	261QX0200X

Indicates primary specialty

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NPI Profile & details for MISSOURI CANCER ASSOCIATES LLC

NPI Number 1215947338

LBN Legal business name MISSOURI CANCER ASSOCIATES LLC

Authorized official ANDREW ILIFF - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/09/2006

Last updated 02/17/2025 - More than a year ago

Identifiers

MO	Medicaid	501811509
MO	Medicaid	509696605

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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