Organization Active NPI

Michiana Cancer Treatment Center

  • Specialist
  • Michigan City, IN
National Provider Identifier
1700920048
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.