Tri-County Cancer Care Center, INC
in Jasper, IN. Organization (NPI-2).
NPI number1033169727
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1033169727
- Entity type
- Organization (NPI-2)
- Legal business name
- Tri-County Cancer Care Center, INC
- Organization subpart
- No
- Enumeration date
- May 11, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0001X | – | – | Yes |
Practice location
939 Memorial DrJasper, IN 47546-2648
Phone 812-482-2212 · Fax 812-634-9114
Mailing address
Po Box 15040Evansville, IN 47716-0040
Phone 812-476-1367 · Fax 812-477-4153
Authorized official
Alvin None Korba
President
8124761367
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