1659698231 NPI number — HEARTLAND CLINIC CANCER CENTER ST JOSEPH ONCOLOGY

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1659698231 NPI number — HEARTLAND CLINIC CANCER CENTER ST JOSEPH ONCOLOGY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HEARTLAND CLINIC CANCER CENTER ST JOSEPH ONCOLOGY
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1659698231
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/22/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
902 N RIVERSIDE RD
Provider Second Line Business Mailing Address:
SUITE 200
Provider Business Mailing Address City Name:
SAINT JOSEPH
Provider Business Mailing Address State Name:
MO
Provider Business Mailing Address Postal Code:
64507-2559
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
816-271-1301
Provider Business Mailing Address Fax Number:
816-271-1302

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
902 N RIVERSIDE RD
Provider Second Line Business Practice Location Address:
SUITE 200
Provider Business Practice Location Address City Name:
SAINT JOSEPH
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
64507-2559
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
816-271-1301
Provider Business Practice Location Address Fax Number:
816-271-1302
Provider Enumeration Date:
04/22/2010

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
CUSICK
Authorized Official First Name:
JULIE
Authorized Official Middle Name:
A
Authorized Official Title or Position:
OFFICE MANAGER
Authorized Official Telephone Number:
816-271-1301

Provider Taxonomy Codes

  • Taxonomy code: 207RH0003X , with the licence number:  R3D52 , registered in the state of MO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)