# SKPR OH 1 LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Scioto County Cancer Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740590397
- **Authorized official:** PRAKASH B PATEL M.D. (SOLE MEMBER/MANAGER)
- **Authorized official phone:** (937) 386-0000

## Contact information

- **Practice address:** 915 10TH ST, PORTSMOUTH, OH 45662-4152
- **Practice address phone:** (937) 386-0000
- **Practice address fax:** (937) 386-0009
- **Mailing address:** 285 MEDICAL CENTER DR, SEAMAN, OH 45679-8006
- **Mailing address phone:** (937) 386-0000
- **Mailing address fax:** (937) 386-0009

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0203X | Radiation Oncology Clinic/Center | 35053209 | OH | Yes |

## Other

- **Enumeration date:** 10/18/2010
- **Last updated:** 02/18/2011