Provider Demographics
NPI:1619288099
Name:OSUMC JAMES CANCER HOSPTIAL
Entity Type:Organization
Organization Name:OSUMC JAMES CANCER HOSPTIAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CNS
Authorized Official - Prefix:
Authorized Official - First Name:LAUREL
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:COURTNEY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:614-293-5377
Mailing Address - Street 1:660 ACKERMAN RD FL 5
Mailing Address - Street 2:PO BOX 183109
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43202-4500
Mailing Address - Country:US
Mailing Address - Phone:614-293-5377
Mailing Address - Fax:614-293-1490
Practice Address - Street 1:660 ACKERMAN RD FL 5
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43202-4500
Practice Address - Country:US
Practice Address - Phone:614-293-5377
Practice Address - Fax:614-293-1490
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-30
Last Update Date:2010-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN154329 NS07735284300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes284300000XHospitalsSpecial Hospital