Cccnf - Lake Butler, LLC
in Lake Butler, FL. Organization (NPI-2).
NPI number1043671241
StatusActive
Last updated in NPPESMar 15, 2016
Details
- NPI
- 1043671241
- Entity type
- Organization (NPI-2)
- Legal business name
- Cccnf - Lake Butler, LLC
- Organization subpart
- No
- Enumeration date
- Mar 15, 2016
- Last updated
- Mar 15, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0001X | JR45707000 | FL | Yes |
Other names
- Fl Dept Of Corrections - Rmc Cancer Center (Other Name)
Practice location
7765 S County Road 231Lake Butler, FL 32054-5721
Phone 386-496-0900 · Fax 386-496-0777
Mailing address
104 Woodmont BlvdSuite 500
Nashville, TN 37205-2245
Phone 615-467-7400 · Fax 615-467-7401
Authorized official
Stuart M. Bitting
Evp
6157831253
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