| Organization Name: | CANCER NETWORK OF WEST CENTRAL OHIO |
| NPI Number: | 1053348904 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHRISTINE A PROVAZNIK (MANAGING EXECUTIVE) |
| Mailing Address: | 900 Havemann Road Celina |
| State: | OH US |
| Postal Code: | 458221870 |
| Phone Number: | 4195841900 |
| Fax Number: | |
| NPI Enumeration Date: | 06/27/2006 |
| NPI Last Update Date: | 02/22/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QX0203X |
| License Number: | 1055RT |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Oncology, Radiation |
| Taxonomy Definition: | |