Provider Demographics
NPI:1710945795
Name:BOSTON CANCER GROUP, PLC
Entity Type:Organization
Organization Name:BOSTON CANCER GROUP, PLC
Other - Org Name:UT CANCER INSTITUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR PATIENT FINANCIAL SERVICES
Authorized Official - Prefix:MRS
Authorized Official - First Name:SONDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-725-1785
Mailing Address - Street 1:1331 UNION AVE
Mailing Address - Street 2:SUITE 800
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38104-3513
Mailing Address - Country:US
Mailing Address - Phone:901-725-1785
Mailing Address - Fax:901-722-0442
Practice Address - Street 1:1331 UNION AVE
Practice Address - Street 2:SUITE 800
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38104-3513
Practice Address - Country:US
Practice Address - Phone:901-725-1785
Practice Address - Fax:901-722-0442
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-01
Last Update Date:2009-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS02706521Medicaid
MS03687363Medicaid
MS09015669Medicaid
TN3711381Medicaid
AR143772002Medicaid
MS09015597Medicaid
MS09015598Medicaid
MS09015441Medicaid
MS09015442Medicaid
MS09015596Medicaid
MS09015775Medicaid
MSC02456Medicare PIN
ARCH6598Medicare PIN
MS03687363Medicaid
MS09015597Medicaid
TN3711381Medicare PIN
MSCH4061Medicare PIN