Provider Demographics
NPI:1326038258
Name:CANCER CARE OF WNC
Entity Type:Organization
Organization Name:CANCER CARE OF WNC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:V
Authorized Official - Last Name:BEAZLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-253-4262
Mailing Address - Street 1:21 HOSPITAL DR
Mailing Address - Street 2:4TH FLOOR
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-4550
Mailing Address - Country:US
Mailing Address - Phone:828-253-4262
Mailing Address - Fax:828-418-0926
Practice Address - Street 1:21 HOSPITAL DR
Practice Address - Street 2:4TH FLOOR
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-4550
Practice Address - Country:US
Practice Address - Phone:828-253-4262
Practice Address - Fax:828-418-0926
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-22
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Multi-Specialty
No207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical OncologyGroup - Multi-Specialty
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC02548OtherBLUE CROSS BLUE SHIELD OF
NC7902548Medicaid
NC02548OtherBLUE CROSS BLUE SHIELD OF
NCCN3214Medicare PIN