NPIMap

Organization Active NPI

Noble Health Audrain Inc

Doing business as Audrain Comm Cancer Center

  • Hematology & Oncology Physician
  • Mexico, MO
National Provider Identifier
1295319937
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
NOBLE HEALTH AUDRAIN INC
Doing business as
Audrain Comm Cancer Center
Practice address
713 E Jackson St
Mexico, MO 65265-2903
Phone
(573) 582-8800
Fax
(573) 582-3300
NPI assigned
May 10, 2021
Organization subpart
Yes
Parent organization
NOBLE HEALTH AUDRAIN INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 23, 2022

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

Authorized official

Name
Amy L Obrien
Title
Ceo
Phone
(573) 582-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X Primary

Addresses

Primary practice location

713 E Jackson St
Mexico, MO 65265-2903

Mailing address

713 E Jackson St
Mexico, MO 65265-2903
Phone (573) 582-8800

Other names 1

  • Audrain Comm Cancer Center Doing business as

National Provider Directory

National Provider Directory
Part of
Audrain Comm Cancer Center

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1620604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655942400000",
    "number": "1295319937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 E JACKSON ST",
            "city": "MEXICO",
            "state": "MO",
            "postal_code": "652652903",
            "telephone_number": "573-582-8800",
            "fax_number": "573-582-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 E JACKSON ST",
            "city": "MEXICO",
            "state": "MO",
            "postal_code": "652652903",
            "telephone_number": "573-582-8800",
            "fax_number": "573-582-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOBLE HEALTH AUDRAIN INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NOBLE HEALTH AUDRAIN INC",
        "enumeration_date": "2021-05-10",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A",
        "authorized_official_last_name": "OBRIEN",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "573-582-5000"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Audrain Comm Cancer Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Audrain Comm Cancer Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mexico, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; 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.