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Organization

CANCER NETWORK OF WEST CENTRAL OHIO

Active
Parent organization
THE CANCER NETWORK OF WEST CENTRAL OHIO
Other names
High Point Regional Cancer Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
THE CANCER NETWORK OF WEST CENTRAL OHIO
Authorized official
MS. CHRISTINE A PROVAZNIK (MANAGING EXECUTIVE)
(419) 226-9103
Entity
Organization

Contact information

Practice address
2160 EWING CRAWFIS CIRCLE, BELLEFONTAINE, OH 43311-9042
(937) 592-9221
Mailing address
900 HAVEMANN ROAD, CELINA, OH 45822-1870
(419) 584-1900

Taxonomy

Speciality
Code
Description
License number
State
261QX0203X
Radiation Oncology Clinic/Center
Primary
1056RT
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2429849
OH
Enumeration date
07/05/2006
Last updated
02/22/2008
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