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 |
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Address | 12642 Riley St, Holland, Michigan |
Phone Number | 6163553876 |
Fax Number | 6167860255 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | EXECUTIVE |
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Authorized Official Name | Powers Ryan |
Telephone Number | 6167727513 |
NPI Number Detail
NPI Number | 1295820900 |
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Provider Enumeration Date | 2006-10-04 |
Last Updated Date | 2015-06-15 |
Provider Mailing Address Detail
Address | 12642 Riley St |
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City | Holland |
State | Michigan (MI) |
Post Code | 494249202 |
Phone Number | 6163553876 |
Fax Number | 6167860255 |
Provider's Primary Taxonomy Detail
Speciality | Oncology, Radiation |
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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 |
Post Comment/ Review Below
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.
NPI Number: 1730182858
Address: 40 Old Lancaster Rd Apt 412, Merion Station, PA