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COMMUNITY CANCER FOUNDATION NPI 1376639153


NPI Information

NPI: 1376639153
Provider Name: COMMUNITY CANCER FOUNDATION

Doing Business As: COMMUNITY CANCER CENTER

Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
2880 NW STEWART PKWY
SUITE 100
ROSEBURG, OR
ZIP 97471
Phone: (541) 673-2267
Get Directions

COMMUNITY CANCER FOUNDATION is a radiology clinic center in Roseburg, OR. COMMUNITY CANCER FOUNDATION NPI is 1376639153. The provider is registered as an organization entity type.
The provider Is Doing Business As Community Cancer Center.

The provider's business location address is:

2880 NW STEWART PKWY
SUITE 100
ROSEBURG, OR
ZIP 97471-201
Phone: (541) 673-2267
Fax: (541) 672-9483

The provider's authorized official is Tammy Turner .
The authorized official title is Executive Director and has the following contact phone number (541) 673-2267.

The enumeration date for this NPI number is 10/5/2006 and was last updated on 12/2/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0200XClinic/CenterRadiologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000773MEDICAIDOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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