Organization
ONCOLOGY AND HEMATOLOGY ASSOCIATES OF SOUTHWEST VIRGINIA, INC.
Active
Other names
Blue Ridge Cancer Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TIFFANY HOUSMAN-BUSSEY (REVENUE CYCLE MANAGER)
(540) 982-0237
Entity
Organization
Contact information
Practice address
2013 JEFFERSON ST SW, SECOND FLOOR, ROANOKE, VA 24014-2419
(540) 982-0237
(540) 982-2719
Mailing address
2013 JEFFERSON ST SW, SECOND FLOOR, ROANOKE, VA 24014-2419
(540) 982-0237
(540) 982-2719
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
2085R0001X
Radiation Oncology Physician
—
—
332900000X
Non-Pharmacy Dispensing Site
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CG5199
MEDICARE RAILROAD
VA
Enumeration date
03/08/2006
Last updated
02/08/2016
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