Southeast Cancer Network, Inc

Organization Active NPI Hematology & Oncology Physician · Montgomery, AL

NPI 1013140904 · NPPES record last updated Aug 26, 2009

Key facts

NPI
1013140904
Entity type
Organization (NPI type 2)
Primary specialty
Hematology & Oncology Physician 207RH0003X
Legal business name
SOUTHEAST CANCER NETWORK, INC
Practice address
1758 Park PL
Suite 301
Montgomery, AL 36106-1127
Phone
(205) 366-9740
Fax
(205) 344-9992
NPI assigned
Aug 26, 2009
Organization subpart
No

Authorized official

Name
Steve L Mitchell
Title
Cfo
Phone
(205) 366-9740

Corporate family (same tax ID) 14

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Athens Oncology (15 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207RH0003X Yes

Addresses

Primary practice location

1758 Park PL
Suite 301
Montgomery, AL 36106-1127

Mailing address

1400 Afflink PL
Suite 100
Tuscaloosa, AL 35406-2289
Phone (205) 366-9740

Other names

  • Cancer Care Center of Montgomery Jackson Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 26, 2009.

{
    "created_epoch": "1251244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251244800000",
    "number": "1013140904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 AFFLINK PL",
            "address_2": "SUITE 100",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062289",
            "telephone_number": "205-366-9740",
            "fax_number": "205-344-9992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1758 PARK PL",
            "address_2": "SUITE 301",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061127",
            "telephone_number": "205-366-9740",
            "fax_number": "205-344-9992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST CANCER NETWORK, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-26",
        "last_updated": "2009-08-26",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "205-366-9740"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cancer Care Center of Montgomery Jackson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Montgomery, AL

All providers in Montgomery, AL · Hematology & Oncology Physician in Alabama

Sources for this page

Verify at the official NPI Registry.