Cache Valley Cancer Treatment &Research Clinic PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

292373-1205 Issued in UT

Legal business name

CACHE VALLEY CANCER TREATMENT &RESEARCH CLINIC PC

Practice address

1281 N 600 E
Logan, UT 84341-6988

Phone

(435) 752-5999

Fax

(435) 752-5551

NPI assigned

Mar 5, 2007

Last updated

Nov 3, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ali Ben-Jacob, M.D.NPI 1083611669

Title

Doctor

Phone

(435) 752-5999

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Ali Ben-Jacob, MD

  • Hematology & Oncology Physician
  • Logan, UT
  • NPI 1083611669
  Authorized official Same address or phone

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414972800000",
    "number": "1427187582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1281 N 600 E",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843416988",
            "telephone_number": "435-752-5999",
            "fax_number": "435-752-5551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1281 N 600 E",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843416988",
            "telephone_number": "435-752-5999",
            "fax_number": "435-752-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CACHE VALLEY CANCER TREATMENT &RESEARCH CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2014-11-03",
        "status": "A",
        "authorized_official_last_name": "BEN-JACOB",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "435-752-5999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "UT",
            "license": "292373-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NATIONAL PROVIDER IDENTIFIER",
            "identifier": "1427187582",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cache Employment and Training Center (Cetc)
• Cache Internal Medicine Inc
• Cache Orthopaedics PC
• Cache Valley Adult Day Center, Inc.
• Cache Valley Beehive Homes Inc. (Beehive Homes of Logan)
• Cache Valley Cardiology PC
• Cache Valley Center for Couples and Families
• Cache Valley Dental Associates LLC
• Cache Valley Eye Associates, Inc.
• Cache Valley Eye Associates, PLLC

• Specialist in Logan, UT
• Providers in Logan, UT by specialty
• Specialist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2014; 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.