Springfield Regional Cancer Center, LLC
Clinic/Center, Oncology, Radiation in Springfield, OH. Organization (NPI-2).
NPI number1477546984
StatusActive
Last updated in NPPESSep 11, 2018
Details
- NPI
- 1477546984
- Entity type
- Organization (NPI-2)
- Legal business name
- Springfield Regional Cancer Center, LLC
- Organization subpart
- No
- Enumeration date
- Aug 30, 2005
- Last updated
- Sep 11, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QX0203X | Clinic/Center, Oncology, Radiation | – | – | Yes |
| 2471R0002X | Radiologic Technologist, Radiation Therapy | 1097RT | OH |
Practice location
148 W North StSpringfield, OH 45504-2547
Phone 937-323-5001 · Fax 937-323-5413
Mailing address
148 W North StSpringfield, OH 45504-2547
Phone 937-323-5001 · Fax 937-323-5413
Authorized official
Rene Suntay
Vp, Chief Financial Officer
9373235001
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