AUDRAIN COMM CANCER CENTER – NPI #1295319937
Internal Medicine

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

AUDRAIN COMM CANCER CENTER is a provider located in MEXICO, MO. NPPES has assigned the NPI number 1295319937 to AUDRAIN COMM CANCER CENTER on May 10, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “AUDRAIN COMM CANCER CENTER” is a dba name, the actual legal business name for this organization is NOBLE HEALTH AUDRAIN INC. The primary taxonomy selected by this provider is 207RH0003X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Hematology & Oncology

The NPI profile was previously updated about 4 years ago on Jun 23, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AUDRAIN COMM CANCER CENTER below.

NPI Profile for
NOBLE HEALTH AUDRAIN INC

NPI Number
1295319937
Enumeration Date

(more than 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NOBLE HEALTH AUDRAIN INC
Doing Business As (dba): AUDRAIN COMM CANCER CENTER
Primary location
713 E JACKSON ST
MEXICO, MO 65265-2903
Phone: (573) 582-8800 Fax: (573) 582-3300
Mailing address
Same as primary location
Organization Subpart
Yes - AUDRAIN COMM CANCER CENTER is subpart of another organization.
Authorized Official
AMY OBRIEN
CEO
Phone: (573) 582-5000
Updated
Certification Date
Jun 23, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RH0003X
- Internal Medicine / Hematology & Oncology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.