Provider Demographics
NPI:1073538732
Name:CENTER FOR CANCER CARE PC
Entity Type:Organization
Organization Name:CENTER FOR CANCER CARE PC
Other - Org Name:ALLIANCE CANCER CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HOYT
Authorized Official - Middle Name:
Authorized Official - Last Name:CHILDS
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:256-319-5400
Mailing Address - Street 1:1 HOSPITAL DR SW STE 100
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-3495
Mailing Address - Country:US
Mailing Address - Phone:256-319-5400
Mailing Address - Fax:256-327-5977
Practice Address - Street 1:201 SIVLEY RD SW STE 10
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-5138
Practice Address - Country:US
Practice Address - Phone:256-319-5400
Practice Address - Fax:256-327-5977
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-13
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation OncologyGroup - Single Specialty
No261QX0203XAmbulatory Health Care FacilitiesClinic/CenterOncology, RadiationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL529500990Medicaid
ALH690Medicare PIN