Provider Demographics
NPI:1801851241
Name:HEALTH & ONCOLOGY SERVICES, INC
Entity Type:Organization
Organization Name:HEALTH & ONCOLOGY SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARY
Authorized Official - Middle Name:Y
Authorized Official - Last Name:KLEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:219-926-2146
Mailing Address - Street 1:1190 N STATE ROAD 49
Mailing Address - Street 2:
Mailing Address - City:PORTER
Mailing Address - State:IN
Mailing Address - Zip Code:46304-1368
Mailing Address - Country:US
Mailing Address - Phone:219-926-2146
Mailing Address - Fax:219-926-3721
Practice Address - Street 1:1190 N STATE ROAD 49
Practice Address - Street 2:
Practice Address - City:PORTER
Practice Address - State:IN
Practice Address - Zip Code:46304-1368
Practice Address - Country:US
Practice Address - Phone:219-926-2146
Practice Address - Fax:219-926-3721
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-19
Last Update Date:2008-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200108960Medicaid
IN0145780001Medicare NSC
IN659650Medicare ID - Type UnspecifiedMEDICARE PROV NUMBER