Cancer Services of Grant County Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

CANCER SERVICES OF GRANT COUNTY INC.

Practice address

305 S. Norton Ave.
Marion, IN 46952

Phone

(765) 664-6815

Fax

(765) 664-1636

NPI assigned

Feb 22, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Jennifer Sue Lane-Riefler, MCHES

Title

Executive Director

Phone

(765) 664-6815

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1361491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416182400000",
    "number": "1649510959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 S. NORTON AVE.",
            "city": "MARION",
            "state": "IN",
            "postal_code": "46952",
            "telephone_number": "765-664-6815",
            "fax_number": "765-664-1636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 S. NORTON AVE.",
            "city": "MARION",
            "state": "IN",
            "postal_code": "46952",
            "telephone_number": "765-664-6815",
            "fax_number": "765-664-1636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANCER SERVICES OF GRANT COUNTY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-22",
        "last_updated": "2014-11-17",
        "status": "A",
        "authorized_official_last_name": "LANE-RIEFLER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "765-664-6815",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MCHES"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina Cale, NCAC II, LCAC, MCAC
• James C Camarata
• Kyle John Campaniello, PHARMD
• Penny Kaye Campbell, COTA
• Marc T Campos, PA-C
• Alexis Cannon, RBT
• Tiffany Cannon
• Colt Allen Cansler, PA-C
• James Jess Capen
• Cardiosom, LLC

• Prosthetic/Orthotic Supplier in Marion, IN
• Providers in Marion, IN by specialty
• Prosthetic/Orthotic Supplier in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.