# SPRINGFIELD REGIONAL CANCER CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477546984
- **Authorized official:** MR. RENE SUNTAY (VP, CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (937) 323-5001

## Contact information

- **Practice address:** 148 W NORTH ST, SPRINGFIELD, OH 45504-2547
- **Practice address phone:** (937) 323-5001
- **Practice address fax:** (937) 323-5413
- **Mailing address:** 148 W NORTH ST, SPRINGFIELD, OH 45504-2547
- **Mailing address phone:** (937) 323-5001
- **Mailing address fax:** (937) 323-5413

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2471R0002X | Radiation Therapy Radiologic Technologist | 1097RT | OH | — |
| 261QX0203X | Radiation Oncology Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/30/2005
- **Last updated:** 09/11/2018
