Indiana Community Cancer Care, Inc.

LBN: Indiana Community Cancer Care, Inc.
Indiana Community Cancer Care, Inc. is an health care organization with primary practice located at 115 W 19Th St , Indianapolis IN 46202-1310. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as the primary health care specialty. Indiana Community Cancer Care, Inc. can be contacted via phone (317) 924-4022, or through Dugan, William M via phone (317) 924-4022.

Contact Information

Primary practice address
115 W 19Th St Indianapolis IN 46202-1310
Phone: (317) 924-4022
Fax: (317) 924-4233
Website:
Map and Directions
Authorized official contact:
Name: Dugan, William M Doctor of Medicine (MD)
Phone: (317) 924-4022

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 50002564A Indiana

Profile Details

NPI number 1285606749
LBN Legal business name Indiana Community Cancer Care, Inc.
DBA Doing business as
Authorized official Dugan, William M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 7th, 2006
Last updated Sep 17th, 2010 - about 14 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 1285606749 NPPES
Indiana MEDICAID 100311840A

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