Missouri Cancer Associates Llc

LBN: Missouri Cancer Associates Llc
Missouri Cancer Associates Llc is an health care organization with primary practice located at 1705 E Broadway Suite 100, Columbia MO 65201-5852. The organization recently has only one registered license in Ambulatory Health Care Facilities / Oncology, which is considered as the primary health care specialty. Missouri Cancer Associates Llc can be contacted via phone (573) 874-7800, or through Tungesvik, Mark via phone (573) 874-7800.

Contact Information

Primary practice address
1705 E Broadway Suite 100 Columbia MO 65201-5852
Phone: (573) 874-7800
Fax: (573) 443-3627
Website:
Map and Directions
Authorized official contact:
Name: Tungesvik, Mark Doctor of Medicine (MD)
Phone: (573) 874-7800

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Oncology 261QX0200X

Profile Details

NPI number 1215947338
LBN Legal business name Missouri Cancer Associates Llc
DBA Doing business as
Authorized official Tungesvik, Mark Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 9th, 2006
Last updated Feb 1st, 2021 - about 4 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 1215947338 NPPES
Missouri MEDICAID 501811509
Missouri MEDICAID 509696605

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