Organization Active NPI

Cancer Health Treatment Centers,P.C.

  • Hematology & Oncology Physician
  • Michigan City, IN
National Provider Identifier
1710112396
Registry record updated May 26, 2009
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
104 Woodland CT
Michigan City, IN 46360-7390
Phone
(219) 879-7700
Fax
(219) 757-5629
NPI assigned
May 26, 2009
Organization subpart
Yes
Parent organization
CANCER HEALTH TREATMENT CENTERS, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 26, 2009

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

Authorized official

Name
Barbara Boese
Title
Assistant Administrator
Phone
(219) 769-4855

Specialties & licenses 1

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

Addresses

Primary practice location

104 Woodland CT
Michigan City, IN 46360-7390

Mailing address

8127 Merrillville Rd
Merrillville, IN 46410-1485
Phone (219) 769-4855

Other identifiers 1

IdentifierTypeStateIssuer
100250100CMedicaidIN

National Provider Directory

National Provider Directory
Tax ID family
Cancer Health Treatment4 organizations share this tax ID, including this one
Part of
Cancer Health Treatment

Other organizations with this tax ID 3

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

Locations

104 Woodland Ct
Michigan City, IN 46360
Phone (219) 879-7700

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1243296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243296000000",
    "number": "1710112396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8127 MERRILLVILLE RD",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464101485",
            "telephone_number": "219-769-4855",
            "fax_number": "219-757-5629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 WOODLAND CT",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463607390",
            "telephone_number": "219-879-7700",
            "fax_number": "219-757-5629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANCER HEALTH TREATMENT CENTERS,P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CANCER HEALTH TREATMENT CENTERS, P.C.",
        "enumeration_date": "2009-05-26",
        "last_updated": "2009-05-26",
        "status": "A",
        "authorized_official_last_name": "BOESE",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "ASSISTANT ADMINISTRATOR",
        "authorized_official_telephone_number": "219-769-4855"
    },
    "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": "100250100C",
            "state": "IN"
        }
    ],
    "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 May 26, 2009; 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.