Cancer Care Center Of Southern Indiana, Llc

LBN: Cancer Care Center Of Southern Indiana, Llc
Cancer Care Center Of Southern Indiana, Llc is an health care organization with primary practice located at 514 W 2Nd St , Bloomington IN 47403-2316. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Cancer Care Center Of Southern Indiana, Llc can be contacted via phone (812) 323-1535, or through Koneru, Karuna S via phone (812) 323-1535.

Contact Information

Primary practice address
514 W 2Nd St Bloomington IN 47403-2316
Phone: (812) 323-1535
Fax: (812) 323-0145
Website:
Map and Directions
Authorized official contact:
Name: Koneru, Karuna S Doctor of Medicine (MD)
Phone: (812) 323-1535

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 01045226 Indiana

Profile Details

NPI number 1184825242
LBN Legal business name Cancer Care Center Of Southern Indiana, Llc
DBA Doing business as
Authorized official Koneru, Karuna S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 29th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184825242 NPPES
Indiana Other 00000031149 BCBS NUMBER

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