Organization
BLUEGRASS REGIONAL CANCER CENTER LLP
Active
Other names
Louisville Radiation Oncology Center
Organization subpart
No
Provider details
NPI number
Authorized official
KIM COMMINS (CEO)
(239) 931-7275
Entity
Organization
Contact information
Practice address
4500 CHURCHMAN AVE, SUITE 100, LOUISVILLE, KY 40215-1143
(502) 363-3100
(502) 363-1110
Mailing address
2234 COLONIAL BLVD, FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65931693
—
KY
01
—
CK9008
RAILROAD MEDICARE
KY
Enumeration date
01/20/2006
Last updated
07/12/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us