Midwest Proton Radiotherapy Institute, Llc
LBN: Indiana University Health Proton Therapy Center, Llc
Midwest Proton Radiotherapy Institute, Llc is an health care organization with primary practice located at 2425 Milo B. Sampson Lane , Bloomington IN 47408-1398. The organization recently has only one registered license in Ambulatory Health Care Facilities / Oncology, Radiation, which is considered as the primary health care specialty.
Indiana University Health Proton Therapy Center, Llc can be contacted via phone (812) 349-5074, or through Kerstiens, John via phone (812) 349-5028.
Contact Information
Primary practice address
2425 Milo B. Sampson Lane
Bloomington IN 47408-1398
Phone: (812) 349-5074
Fax: (812) 349-5046
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Oncology, Radiation | 261QX0203X | NA |
Profile Details
| NPI number | 1780775163 |
|---|---|
| LBN Legal business name | Indiana University Health Proton Therapy Center, Llc |
| DBA Doing business as | Midwest Proton Radiotherapy Institute, Llc |
| Authorized official | Kerstiens, John CPA |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 28th, 2006 |
| Last updated | Nov 28th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780775163 | NPPES |
| Indiana | MEDICAID | 200442910A |
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