Provider Demographics
NPI:1932325313
Name:UNIVERSAL TREATMENT CENTER, INC
Entity Type:Organization
Organization Name:UNIVERSAL TREATMENT CENTER, INC
Other - Org Name:AUBURN REGIONAL CENTER FOR CANCER CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO, SENIOR VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:FILTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-768-3300
Mailing Address - Street 1:222 2ND ST NE
Mailing Address - Street 2:SUITE A
Mailing Address - City:AUBURN
Mailing Address - State:WA
Mailing Address - Zip Code:98002-5040
Mailing Address - Country:US
Mailing Address - Phone:253-333-2737
Mailing Address - Fax:
Practice Address - Street 1:222 2ND ST NE
Practice Address - Street 2:SUITE A
Practice Address - City:AUBURN
Practice Address - State:WA
Practice Address - Zip Code:98002-5040
Practice Address - Country:US
Practice Address - Phone:253-333-2737
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0203XAmbulatory Health Care FacilitiesClinic/CenterOncology, Radiation
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA7064389Medicaid
WA7064389Medicaid
WA7064389Medicaid