VIDANT CANCER CARE CLINIC- ROANOKE RAPIDS – NPI #1336771112
Internal Medicine

An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.

Health Care Provider Taxonomy Code for Internal Medicine

VIDANT CANCER CARE CLINIC- ROANOKE RAPIDS is a provider located in ROANOKE RAPIDS, NC. NPPES has assigned the NPI number 1336771112 to VIDANT CANCER CARE CLINIC- ROANOKE RAPIDS on February 10, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “VIDANT CANCER CARE CLINIC- ROANOKE RAPIDS” is a dba name, the actual legal business name for this organization is ROANOKE VALLEY HEALTH SERVICES INC. The primary taxonomy selected by this provider is 207RX0202X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Medical Oncology

The NPI profile was previously updated about 6 years ago on Jul 10, 2020. 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 VIDANT CANCER CARE CLINIC- ROANOKE RAPIDS below.

NPI Profile for
ROANOKE VALLEY HEALTH SERVICES INC

NPI Number
1336771112
Enumeration Date

(more than 6 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
ROANOKE VALLEY HEALTH SERVICES INC
Doing Business As (dba): VIDANT CANCER CARE CLINIC- ROANOKE RAPIDS
Primary location
250 SMITH CHURCH RD
ROANOKE RAPIDS, NC 27870
Phone: (252) 535-8832 Fax: (252) 535-8794
Mailing address
210 B SMITH CHURCH RD
ROANOKE RAPIDS, NC 27870
Phone: (252) 535-8870 Fax: (252) 535-8868
Organization Subpart
Yes - VIDANT CANCER CARE CLINIC- ROANOKE RAPIDS is subpart of another organization.
Authorized Official
SHERRY JENSEN
VP FINANCE
Phone: (252) 535-8005
Updated
Certification Date
Jul 10, 2020

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
207RX0202X
- Internal Medicine / Medical 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.