Organization Active NPI

Cancer Health Treatment Centers, P.C.

  • Hematology & Oncology Physician
  • Crown Point, IN
National Provider Identifier
1689624264
Registry record updated Feb 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
CANCER HEALTH TREATMENT CENTERS, P.C.
Practice address
342 E 109TH Ave
Crown Point, IN 46307-8693
Phone
(219) 310-2550
Fax
(219) 310-2565
NPI assigned
May 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2013

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

Authorized official

Name
Barbara Boese
Title
Administrator
Phone
(219) 310-2550

Specialties & licenses 1

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

Addresses

Primary practice location

342 E 109TH Ave
Crown Point, IN 46307-8693

Mailing address

342 E 109TH Ave
Crown Point, IN 46307-8693
Phone (219) 310-2550

Other identifiers 1

IdentifierTypeStateIssuer
100250100MedicaidIN

National Provider Directory

National Provider Directory

Locations

342 E 109th Ave
Crown Point, IN 46307
Phone (219) 310-2550

1901 S Heaton St
Knox, IN 46534
Phone (574) 772-4885

2600 Roosevelt Rd
Ste 300-1
Valparaiso, IN 46383
Phone (219) 464-1620

Ownership & related parties

Subparts reporting this organization as parent 4

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361750400000",
    "number": "1689624264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 E 109TH AVE",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463078693",
            "telephone_number": "219-310-2550",
            "fax_number": "219-310-2565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 E 109TH AVE",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463078693",
            "telephone_number": "219-310-2550",
            "fax_number": "219-310-2565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANCER HEALTH TREATMENT CENTERS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2013-02-25",
        "status": "A",
        "authorized_official_last_name": "BOESE",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "219-310-2550"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100250100",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crown Point, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; 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.