Organization
BOARD OF TRUSTEES OF HOWARD COMMUNITY HOSPITAL
Active
Other names
Community Oncology Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THEODORE T BROWN (COO)
(765) 453-8456
Entity
Organization
Contact information
Practice address
3500 S LAFOUNTAIN ST, KOKOMO, IN 46902-3803
(765) 453-8571
(765) 453-8637
Mailing address
3500 S LAFOUNTAIN ST, KOKOMO, IN 46902-3803
(765) 453-8571
(765) 453-8637
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
01056265A
IN
2085R0001X
Radiation Oncology Physician
01067807A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200011260D
—
IN
Enumeration date
07/27/2006
Last updated
11/13/2012
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