Indiana University Health Proton Therapy Center, Llc in Bloomington - Oncology, Radiation
Indiana University Health Proton Therapy Center, Llc - NPI 1780775163
Indiana University Health Proton Therapy Center, Llc is a Oncology, Radiation in Bloomington, Indiana. Indiana University Health Proton Therapy Center, Llc practices all healthcare services and medical treatments related to Oncology, Radiation. The NPI Number for Indiana University Health Proton Therapy Center, Llc is 1780775163. The last update date is 2012-11-28.
Indiana University Health Proton Therapy Center, Llc's current location address is 2425 Milo B. Sampson Lane, Bloomington, Indiana. You can contact this provider via phone number 8123495074 and fax number 8123495046. The mailing address for Indiana University Health Proton Therapy Center, Llc is 2425 Milo B. Sampson Lane, Bloomington, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Indiana University Health Proton Therapy Center, Llc |
|---|---|
| Address | 2425 Milo B. Sampson Lane, Bloomington, Indiana |
| Phone Number | 8123495074 |
| Fax Number | 8123495046 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | COO/CFO |
|---|---|
| Authorized Official Name | Kerstiens John |
| Credentials | CPA |
| Telephone Number | 8123495028 |
NPI Number Detail
| NPI Number | 1780775163 |
|---|---|
| Provider Enumeration Date | 2006-09-28 |
| Last Updated Date | 2012-11-28 |
Provider Mailing Address Detail
| Address | 2425 Milo B. Sampson Lane |
|---|---|
| City | Bloomington |
| State | Indiana (IN) |
| Post Code | 474081398 |
| Phone Number | 8123495074 |
| Fax Number | 8123495046 |
Provider's Primary Taxonomy Detail
| Speciality | Oncology, Radiation |
|---|---|
| Taxonomy | 261Qx0203X |
|
Definition: Uses high energy radiation to treat cancer. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200442910A | IN | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Indiana University Health Proton Therapy Center, Llc?
The Indiana University Health Proton Therapy Center, Llc has been issued the NPI (National Provider Identifier) 1780775163 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Indiana University Health Proton Therapy Center, Llc is physically located?
The Indiana University Health Proton Therapy Center, Llc is physically situated at the following address: 2425 Milo B. Sampson Lane, Bloomington, IN, 474081398.
What is the Indiana University Health Proton Therapy Center, Llc's area of specialization and corresponding taxonomy classification?
The Indiana University Health Proton Therapy Center, Llc's specialty field is Oncology, Radiation, and it falls under the taxonomy code 261Qx0203X, which categorizes healthcare providers based on their specialties.
When did the Indiana University Health Proton Therapy Center, Llc receive its 1780775163?
The Indiana University Health Proton Therapy Center, Llc was issued its 1780775163 on 2006-09-28, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Indiana University Health Proton Therapy Center, Llc most recently updated or revised?
The information pertaining to Indiana University Health Proton Therapy Center, Llc, including its address, specialty, and other relevant details, was last updated or revised on 2012-11-28.
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