DOWNRIVER CANCER CENTER NPI 1528057692

NPI Information

NPI: 1528057692
Provider Name: DOWNRIVER CANCER CENTER

Doing Business As: JOSEPHINE FORD CANCER CENTER

Classification: Radiology - 2085R0001X
Entity Type: Organization

Specialization: Radiation Oncology

Address:
19675 ALLEN RD
BROWNSTOWN TWP, MI
ZIP 48183
Phone: (734) 479-3311
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DOWNRIVER CANCER CENTER is a radiation oncology radiology in Brownstown Twp, MI. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. DOWNRIVER CANCER CENTER NPI is 1528057692. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Josephine Ford Cancer Center.

The provider's business location address is:

19675 ALLEN RD
BROWNSTOWN TWP, MI
ZIP 48183-021
Phone: (734) 479-3311
Fax: (734) 479-8009

The provider's authorized official is Amy Esposito .
The authorized official title is Group Practice Dir. and has the following contact phone number (313) 916-2803.

The enumeration date for this NPI number is 10/20/2005 and was last updated on 5/29/2013.

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
1	2085R0001X	Radiology	Radiation Oncology	402608	MICHIGAN	No
2	2085R0001X	Radiology	Radiation Oncology	065057	MICHIGAN	Yes

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
1	320H210170	OTHER	MICHIGAN	BCBS
2	OM11130	OTHER	MICHIGAN	HEALTH ALLIANCE PLAN
3	3156435	MEDICAID	MICHIGAN
4	4476493	MEDICAID	MICHIGAN
5	018870	OTHER	MICHIGAN	MIDWEST HEALTH PLAN
6	A82452	MEDICARE UPIN
7	G78772	MEDICARE UPIN
8	4476493	OTHER	MICHIGAN	GREAT LAKES HEALTH PLAN
9	OM11130	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN

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

NPI Synchronization or Removal

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