Provider Demographics
NPI:1295324515
Name:ROCKET CITY ONCOLOGY AND INFUSION CENTER, LLC
Entity type:Organization
Organization Name:ROCKET CITY ONCOLOGY AND INFUSION CENTER, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OPERATING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:T
Authorized Official - Last Name:PAMPERIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-970-1888
Mailing Address - Street 1:250 CHATEAU DR SW STE 215
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-3497
Mailing Address - Country:US
Mailing Address - Phone:256-970-1888
Mailing Address - Fax:256-937-2233
Practice Address - Street 1:250 CHATEAU DR SW STE 112B
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-3497
Practice Address - Country:US
Practice Address - Phone:256-970-1888
Practice Address - Fax:256-937-2233
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-12
Last Update Date:2023-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy