NPIMap

Organization Active NPI

Board of Trustees of Howard Community Hospital

Doing business as Community Oncology Center

  • Hematology & Oncology Physician
  • Kokomo, IN
National Provider Identifier
1801810346
Registry record updated Nov 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
01056265A Issued in IN
Legal business name
BOARD OF TRUSTEES OF HOWARD COMMUNITY HOSPITAL
Doing business as
Community Oncology Center
Practice address
3500 S Lafountain St
Kokomo, IN 46902-3803
Phone
(765) 453-8571
Fax
(765) 453-8637
NPI assigned
Jul 27, 2006
Last updated
Nov 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2012

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

Authorized official

Name
Mr. Theodore T Brown
Title
Coo
Phone
(765) 453-8456

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 01056265A IN Primary
Radiation Oncology Physician 2085R0001X 01067807A IN

Addresses

Primary practice location

3500 S Lafountain St
Kokomo, IN 46902-3803

Mailing address

3500 S Lafountain St
Kokomo, IN 46902-3803
Phone (765) 453-8571

Other identifiers 1

IdentifierTypeStateIssuer
200011260DMedicaidIN

Other names 1

  • Community Oncology Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352764800000",
    "number": "1801810346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 S LAFOUNTAIN ST",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469023803",
            "telephone_number": "765-453-8571",
            "fax_number": "765-453-8637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 S LAFOUNTAIN ST",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469023803",
            "telephone_number": "765-453-8571",
            "fax_number": "765-453-8637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOARD OF TRUSTEES OF HOWARD COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2012-11-13",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "765-453-8456",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IN",
            "license": "01056265A",
            "primary": true
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "IN",
            "license": "01067807A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200011260D",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Oncology Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kokomo, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2012; 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.