Cancer Care Group P.C.

LBN: Cancer Care Group P.C.
Cancer Care Group P.C. is an health care organization with primary practice located at 1907 W Sycamore St , Kokomo IN 46901-5148. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Medicine, Allopathic & Osteopathic Physicians / Radiation Oncology. Allopathic & Osteopathic Physicians / Radiation Oncology is the primary health care specialty. Cancer Care Group P.C. can be contacted via phone (317) 715-1800, or through Freeland, Stephen A via phone (317) 715-1800.

Contact Information

Primary practice address
1907 W Sycamore St Kokomo IN 46901-5148
Fax: (317) 715-6200
Website:
Authorized official contact:
Name: Freeland, Stephen A

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Medicine 207U00000X 50004183A Indiana
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 50004183A Indiana

Profile Details

NPI number 1295143956
LBN Legal business name Cancer Care Group P.C.
DBA Doing business as
Authorized official Freeland, Stephen A
Entity Organization
Organization subpart 1 No
Enumeration date Jul 25th, 2014
Last updated Jul 25th, 2014 - about 11 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 1295143956 NPPES
Indiana MEDICAID 200259350
Indiana MEDICAID 201055990

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