Peninsula Cancer Institute, Llc

LBN: Peninsula Cancer Institute, Llc
Peninsula Cancer Institute, Llc is an health care organization with primary practice located at 12100 Warwick Blvd. Suite 201, Newport News VA 23601-2365. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is the primary health care specialty. Peninsula Cancer Institute, Llc can be contacted via phone (757) 534-5555, or through Miller, Braden via phone (757) 594-4006.

Contact Information

Primary practice address
12100 Warwick Blvd. Suite 201 Newport News VA 23601-2365
Phone: (757) 534-5555
Fax: (757) 534-5569
Website:
Map and Directions
Authorized official contact:
Name: Miller, Braden
Phone: (757) 594-4006

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0101043974 Virginia
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X

Profile Details

NPI number 1508947342
LBN Legal business name Peninsula Cancer Institute, Llc
DBA Doing business as
Authorized official Miller, Braden
Entity Organization
Organization subpart 1 No
Enumeration date Oct 18th, 2006
Last updated Jan 4th, 2016 - about 10 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 1508947342 NPPES
Virginia MEDICAID 0101047727
Virginia MEDICAID 010125626
Virginia MEDICAID 010162338
Virginia MEDICAID 010202761
Virginia MEDICAID 010228484

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