<Unavail>

LBN: Fox Valley Hematology & Oncology S C
<Unavail> is an health care organization with primary practice located at 3925 N Gateway Dr Suite 100, Appleton WI 54913-7863. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Fox Valley Hematology & Oncology S C can be contacted via phone (920) 702-4802, or through Goggins, Timothy via phone (920) 749-1171.

Contact Information

Primary practice address
3925 N Gateway Dr Suite 100 Appleton WI 54913-7863
Phone: (920) 702-4802
Fax: (920) 702-4319
Website:
Map and Directions
Authorized official contact:
Name: Goggins, Timothy
Phone: (920) 749-1171

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 9433-42 Wisconsin

Profile Details

NPI number 1003352733
LBN Legal business name Fox Valley Hematology & Oncology S C
DBA Doing business as <Unavail>
Authorized official Goggins, Timothy
Entity Organization
Organization subpart 1 No
Enumeration date Jan 19th, 2017
Last updated May 8th, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003352733 NPPES
Other 2167333 PK

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