Basic Information
| Provider Information | |||||||||
| NPI: | 1124127683 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 660 ACKERMAN | ||||||||
| Address2: | PO BOX 183104 | ||||||||
| City: | COLUMBUS | ||||||||
| State: | OH | ||||||||
| PostalCode: | 432183104 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6142932074 | ||||||||
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| Practice Location | |||||||||
| Address1: | 300 W 10TH AVE | ||||||||
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| City: | COLUMBUS | ||||||||
| State: | OH | ||||||||
| PostalCode: | 432101280 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6142933300 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/21/2006 | ||||||||
| LastUpdateDate: | 07/10/2014 | ||||||||
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| AuthorizedOfficialLastName: | BELL | ||||||||
| AuthorizedOfficialFirstName: | JULIAN | ||||||||
| AuthorizedOfficialMiddleName: | LEE | ||||||||
| AuthorizedOfficialTitleorPosition: | ASSOCIATE EXECUTIVE DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 6142930572 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 284300000X | 1818 | OH | Y | Hospitals | Special Hospital |
ID Information
| ID | Type | State | Issuer | Description | 0805990 | 05 | OH | MEDICAID |