Organization Active NPI

Kerrville Cancer Center LTD

  • Radiation Oncology Clinic/Center
  • Kerrville, TX
National Provider Identifier
1083622781
Registry record updated Mar 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology Clinic/CenterTaxonomy code 261QX0203X
License
R17560 Issued in TX
Legal business name
KERRVILLE CANCER CENTER LTD
Practice address
218 Sidney Baker St
Kerrville, TX 78028-5367
Phone
(830) 257-2070
Fax
(830) 257-2079
NPI assigned
Aug 4, 2006
Last updated
Mar 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2008

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

Authorized official

Name
Sandy Rios, CCS-P
Title
Administrative Assistant
Phone
(830) 257-2191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Clinic/Center 261QX0203X R17560 TX Primary

Addresses

Primary practice location

218 Sidney Baker St
Kerrville, TX 78028-5367

Mailing address

218 Sidney Baker St
Kerrville, TX 78028-5367
Phone (830) 257-2070

Other identifiers 2

IdentifierTypeStateIssuer
0143426801MedicaidTX
0153DCOtherTXBC/BS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1083622781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 SIDNEY BAKER ST",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780285367",
            "telephone_number": "830-257-2070",
            "fax_number": "830-257-2079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 SIDNEY BAKER ST",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780285367",
            "telephone_number": "830-257-2070",
            "fax_number": "830-257-2079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERRVILLE CANCER CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2008-03-11",
        "status": "A",
        "authorized_official_last_name": "RIOS",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "830-257-2191",
        "authorized_official_credential": "CCS-P"
    },
    "taxonomies": [
        {
            "code": "261QX0203X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology, Radiation",
            "state": "TX",
            "license": "R17560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0143426801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "0153DC",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kerrville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; 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.