Lakeshore Area Radiation Oncology Center in Holland - Oncology, Radiation

Lakeshore Area Radiation Oncology Center - NPI 1295820900

Lakeshore Area Radiation Oncology Center is a Oncology, Radiation in Holland, Michigan. Lakeshore Area Radiation Oncology Center practices all healthcare services and medical treatments related to Oncology, Radiation. The NPI Number for Lakeshore Area Radiation Oncology Center is 1295820900. The last update date is 2015-06-15.

Lakeshore Area Radiation Oncology Center's current location address is 12642 Riley St, Holland, Michigan. You can contact this provider via phone number 6163553876 and fax number 6167860255. The mailing address for Lakeshore Area Radiation Oncology Center is 12642 Riley St, Holland, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Organization Lakeshore Area Radiation Oncology Center
Address 12642 Riley St, Holland, Michigan
Phone Number 6163553876
Fax Number 6167860255
Sole Proprietor --
Credentials --

Authorized Official

Title or Position EXECUTIVE
Authorized Official Name Powers Ryan
Telephone Number 6167727513

NPI Number Detail

NPI Number 1295820900
Provider Enumeration Date 2006-10-04
Last Updated Date 2015-06-15

Provider Mailing Address Detail

Address 12642 Riley St
City Holland
State Michigan (MI)
Post Code 494249202
Phone Number 6163553876
Fax Number 6167860255

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
2827 MI PRIORITY HEALTH
32-0-G0-1091-0 MI BCBSM

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FAQs about Lakeshore Area Radiation Oncology Center

What is the unique 10-digit identification code assigned to Lakeshore Area Radiation Oncology Center by the Centers for Medicare & Medicaid Services?

The Lakeshore Area Radiation Oncology Center has been issued the NPI (National Provider Identifier) 1295820900, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Lakeshore Area Radiation Oncology Center is physically located?

The Lakeshore Area Radiation Oncology Center is physically situated at the following address: 12642 Riley St, Holland, MI, 494249202.

What is the Lakeshore Area Radiation Oncology Center's specialty and taxonomy code?

The Lakeshore Area Radiation Oncology Center's specialty is Oncology, Radiation, and the corresponding taxonomy code is 261Qx0203X.

On what date did Lakeshore Area Radiation Oncology Center receive its 1295820900 assignment from the Centers for Medicare & Medicaid Services?

The Lakeshore Area Radiation Oncology Center was assigned its 1295820900 on 2006-10-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the Lakeshore Area Radiation Oncology Center's information last updated?

The Lakeshore Area Radiation Oncology Center's information was last updated on 2015-06-15.

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