Grand Lake Regional Cancer Center

LBN: Cancer Network Of West Central Ohio
Grand Lake Regional Cancer Center is an health care organization with primary practice located at 900 Havemann Road , Celina OH 45822-1870. The organization recently has only one registered license in Ambulatory Health Care Facilities / Oncology, Radiation, which is considered as the primary health care specialty. Cancer Network Of West Central Ohio can be contacted via phone (419) 584-1900, or through Clemments, Paul via phone (419) 251-2662.

Contact Information

Primary practice address
900 Havemann Road Celina OH 45822-1870
Phone: (419) 584-1900
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Clemments, Paul
Phone: (419) 251-2662

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Oncology, Radiation 261QX0203X 1055RT Ohio

Profile Details

NPI number 1053348904
LBN Legal business name Cancer Network Of West Central Ohio
DBA Doing business as Grand Lake Regional Cancer Center
Authorized official Clemments, Paul
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 27th, 2006
Last updated May 15th, 2019 - about 5 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 1053348904 NPPES
Ohio MEDICAID 2429821

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