Missouri Cancer Care Pc

LBN: Missouri Cancer Care Pc
Missouri Cancer Care Pc is an health care organization with primary practice located at 400 Medical Plaza Suite 100, Lake St. Louis MO 63367. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Radiation Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is the primary health care specialty. Missouri Cancer Care Pc can be contacted via phone (636) 639-8620, or through Vincent, Linda J via phone (636) 639-8650.

Contact Information

Primary practice address
400 Medical Plaza Suite 100 Lake St. Louis MO 63367
Phone: (636) 639-8620
Fax: (636) 639-8665
Website:
Map and Directions
Authorized official contact:
Name: Vincent, Linda J
Phone: (636) 639-8650

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X

Profile Details

NPI number 1326107871
LBN Legal business name Missouri Cancer Care Pc
DBA Doing business as
Authorized official Vincent, Linda J
Entity Organization
Organization subpart 1 No
Enumeration date Dec 8th, 2006
Last updated Dec 10th, 2008 - about 18 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 1326107871 NPPES
Missouri MEDICAID 507598704

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