Organization
FRANCISCAN HEALTH LAFAYETTE
Active
Other names
Faith Hope and Love Cancer Care
Organization subpart
No
Provider details
NPI number
Authorized official
TERRANCE E WILSON (CEO)
(765) 502-4000
Entity
Organization
Contact information
Practice address
1425 UNITY PL, LAFAYETTE, IN 47905-5756
(765) 447-7460
(765) 447-8396
Mailing address
PO BOX 781019, DETROIT, MI 48278-1019
(765) 502-4000
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
—
IN
261QX0203X
Radiation Oncology Clinic/Center
Primary
—
IN
282N00000X
General Acute Care Hospital
—
IN
Other
Enumeration date
01/16/2013
Last updated
09/16/2016
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