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NPI Code Detail

MEDICARE: HEARTLAND RADIATION ONCOLOGY

MEDICARE: HEARTLAND RADIATION ONCOLOGY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0001XRadiation Oncology PhysicianKS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1110004OTHERKSBCBS
21518OTHERKSPREFERRED HEALTH SYSTEMS

General Provider Information

NPI Number : 1275512535
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEARTLAND RADIATION ONCOLOGY
Provider Business Mailing Address
First Line : 1020A E BOAL AVE
Second Line :
City : BOALSBURG
State : PA
Zip : 16827-1509
Country : US
Telephone Number : 814-237-8627
Fax Number : 814-238-0083
Provider Business Practice Location Address
First Line : 1701 E 23RD AVE
Second Line :
City : HUTCHINSON
State : KS
Zip : 67502-1105
Country : US
Telephone Number : 620-662-1212
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. STEVEN D BRAUN
Credential : MD
Telephone Number : 620-662-1212
Provider Enumeration Date : 01/13/2006
Last Update Date : 07/21/2022

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Directions to “HEARTLAND RADIATION ONCOLOGY ” Practice Location

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