Great River Oncology, P.C.

LBN: Great River Oncology, P.C.
Great River Oncology, P.C. is an health care organization with primary practice located at 1225 S Gear Ave Suite 152, West Burlington IA 52655-1691. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as the primary health care specialty. Great River Oncology, P.C. can be contacted via phone (319) 753-1220, or through Reganti, Rohini via phone (319) 753-1220.

Contact Information

Primary practice address
1225 S Gear Ave Suite 152 West Burlington IA 52655-1691
Phone: (319) 753-1220
Fax: (319) 753-5464
Website:
Map and Directions
Authorized official contact:
Name: Reganti, Rohini Doctor of Medicine (MD)
Phone: (319) 753-1220

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X

Profile Details

NPI number 1649297326
LBN Legal business name Great River Oncology, P.C.
DBA Doing business as
Authorized official Reganti, Rohini Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 17th, 2006
Last updated Aug 22nd, 2020 - 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 1649297326 NPPES
Iowa MEDICAID 0274860
Iowa Other 08894

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