Fox Valley Hematology & Oncology, S.C.

LBN: Fox Valley Hematology & Oncology, S.C.
Fox Valley Hematology & Oncology, S.C. is an health care organization with primary practice located at 3925 N Gateway Dr , Appleton WI 54913-7863. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Suppliers / Non-Pharmacy Dispensing Site. Suppliers / Non-Pharmacy Dispensing Site is the primary health care specialty. Fox Valley Hematology & Oncology, S.C. can be contacted via phone (920) 749-1171, or through Goggins, Timothy F via phone (920) 749-1171.

Contact Information

Primary practice address
3925 N Gateway Dr Appleton WI 54913-7863
Phone: (920) 749-1171
Fax: (920) 831-1472
Website:
Map and Directions
Authorized official contact:
Name: Goggins, Timothy F Doctor of Medicine (MD)
Phone: (920) 749-1171

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X
Suppliers / Non-Pharmacy Dispensing Site 332900000X

Profile Details

NPI number 1063535524
LBN Legal business name Fox Valley Hematology & Oncology, S.C.
DBA Doing business as
Authorized official Goggins, Timothy F Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 9th, 2007
Last updated Jan 10th, 2017 - about 7 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 1063535524 NPPES
Wisconsin MEDICAID 32802700

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