Progressive Cancer Care Llc

LBN: Progressive Cancer Care Llc
Progressive Cancer Care Llc is an health care organization with primary practice located at 831 N Theatre Rd , Marion IN 46952-1701. The organization recently has only one registered license in Ambulatory Health Care Facilities / Oncology, Radiation, which is considered as the primary health care specialty. Progressive Cancer Care Llc can be contacted via phone (765) 662-4293, or through Mughmaw, Stephen via phone (765) 662-4293.

Contact Information

Primary practice address
831 N Theatre Rd Marion IN 46952-1701
Phone: (765) 662-4293
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mughmaw, Stephen
Phone: (765) 662-4293

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Oncology, Radiation 261QX0203X

Profile Details

NPI number 1609984301
LBN Legal business name Progressive Cancer Care Llc
DBA Doing business as
Authorized official Mughmaw, Stephen
Entity Organization
Organization subpart 1 No
Enumeration date Aug 25th, 2006
Last updated Sep 18th, 2014 - about 10 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 1609984301 NPPES
Indiana MEDICAID 200507020

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