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
National Provider Directory
- Tax ID family
- Athens Oncology
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician |
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
NPI Registry JSON
{
"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
- Chaerin Son
- Matthew Doyle Sorensen
- Rodney D Soto
- Sound Physicians Emergency Medicine of Alabama LLC
- South Central Alabama Development Commission
- Southeast Cancer Network, Inc
- Southeast Cancer Network, Inc
- Southeast Hospice Network, LLC
- Southeast Surgery, PC
- Southeastern Advanced Wound Care
All providers in Montgomery, AL · Hematology & Oncology Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.