Organization Active NPI

Tri-County Cancer Care Center, Inc

  • Radiation Oncology Physician
  • Jasper, IN
National Provider Identifier
1033169727
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
TRI-COUNTY CANCER CARE CENTER, INC
Practice address
939 Memorial Dr
Jasper, IN 47546-2648
Phone
(812) 482-2212
Fax
(812) 634-9114
NPI assigned
May 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Alvin None Korba, MEDICAL DOCTOR
Title
President
Phone
(812) 476-1367

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0001X Primary

Addresses

Primary practice location

939 Memorial Dr
Jasper, IN 47546-2648

Mailing address

PO Box 15040
Evansville, IN 47716-0040
Phone (812) 476-1367

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033169727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15040",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477160040",
            "telephone_number": "812-476-1367",
            "fax_number": "812-477-4153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "939 MEMORIAL DR",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475462648",
            "telephone_number": "812-482-2212",
            "fax_number": "812-634-9114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-COUNTY CANCER CARE CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KORBA",
        "authorized_official_first_name": "ALVIN",
        "authorized_official_middle_name": "NONE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-476-1367",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MEDICAL DOCTOR"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.