NPIMap

Organization Active NPI

Greater Lafayette Health Services

  • Radiation Oncology Clinic/Center
  • Lafayette, IN
National Provider Identifier
1508935552
Registry record updated Nov 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology Clinic/CenterTaxonomy code 261QX0203X
Legal business name
GREATER LAFAYETTE HEALTH SERVICES
Practice address
1425 Unity PL
Lafayette, IN 47905-5756
Phone
(765) 447-7460
NPI assigned
Nov 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2007

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

Authorized official

Name
Mr. Terrance E Wilson
Title
Chief Executive Officer
Phone
(765) 423-6161

Specialties & licenses 1

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

Addresses

Primary practice location

1425 Unity PL
Lafayette, IN 47905-5756

Mailing address

2400 South St
Lafayette, IN 47904-3027

Other identifiers 1

IdentifierTypeStateIssuer
000000311919OtherINANTHEM

Other names 1

  • Faith, Hope, and Love Cancer Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Greater Lafayette Health Services24 organizations share this tax ID, including this one

Other organizations with this tax ID 23

Organizations that report the same tax identification number in the National Provider Directory.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1508935552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 SOUTH ST",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479043027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 UNITY PL",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479055756",
            "telephone_number": "765-447-7460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER LAFAYETTE HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "TERRANCE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "765-423-6161",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QX0203X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology, Radiation",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000311919",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Faith, Hope, and Love Cancer Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lafayette, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; 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.