Provider Demographics
NPI:1194848895
Name:PARKLAND PHYSICIAN SERVICES INC
Entity Type:Organization
Organization Name:PARKLAND PHYSICIAN SERVICES INC
Other - Org Name:PARKLAND ONCOLOGY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP
Authorized Official - Prefix:
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:
Authorized Official - Last Name:WASHINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-650-2907
Mailing Address - Street 1:44 BIRCH ST
Mailing Address - Street 2:SUITE 209
Mailing Address - City:DERRY
Mailing Address - State:NH
Mailing Address - Zip Code:03038-2752
Mailing Address - Country:US
Mailing Address - Phone:603-421-2181
Mailing Address - Fax:603-421-2301
Practice Address - Street 1:44 BIRCH ST
Practice Address - Street 2:SUITE 209
Practice Address - City:DERRY
Practice Address - State:NH
Practice Address - Zip Code:03038-2752
Practice Address - Country:US
Practice Address - Phone:603-421-2181
Practice Address - Fax:603-421-2301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-09
Last Update Date:2008-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30212923Medicaid
NH30212923Medicaid
CA3356Medicare PIN