Active NPI
Michiana Cancer Treatment Center
- Specialist
- Michigan City, IN
National Provider Identifier
1700920048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- MICHIANA CANCER TREATMENT CENTER
- Practice address
- 1507 Wabash St
Michigan City, IN 46360-4300 - Phone
- (219) 874-3188
- Fax
- (219) 874-7868
- NPI assigned
- Feb 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Ann Adkins
- Title
- Billing Department
- Phone
- (219) 874-3188
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
1507 Wabash St
Michigan City, IN 46360-4300
Mailing address
1507 Wabash St
Michigan City, IN 46360-4300
Phone (219) 874-3188
National Provider Directory
National Provider DirectoryLocations
1507 Wabash St
Michigan City, IN 46360
Phone (219) 874-3188
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171843200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1700920048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1507 WABASH ST",
"city": "MICHIGAN CITY",
"state": "IN",
"postal_code": "463604300",
"telephone_number": "219-874-3188",
"fax_number": "219-874-7868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1507 WABASH ST",
"city": "MICHIGAN CITY",
"state": "IN",
"postal_code": "463604300",
"telephone_number": "219-874-3188",
"fax_number": "219-874-7868"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHIANA CANCER TREATMENT CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-19",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ADKINS",
"authorized_official_first_name": "ANN",
"authorized_official_title_or_position": "BILLING DEPARTMENT",
"authorized_official_telephone_number": "219-874-3188",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Michigan City, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.