CCCNF - LAKE BUTLER, LLC – NPI #1043671241
Radiology

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

CCCNF - LAKE BUTLER, LLC is a radiologist located in LAKE BUTLER, FL. NPPES has assigned the NPI number 1043671241 to CCCNF - LAKE BUTLER, LLC on March 15, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. CCCNF - LAKE BUTLER, LLC is also known by the name FL DEPT OF CORRECTIONS - RMC CANCER CENTER. The primary taxonomy selected by this provider is 2085R0001X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Radiation Oncology

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 CCCNF - LAKE BUTLER, LLC below.

NPI Profile for
CCCNF - LAKE BUTLER, LLC

NPI Number
1043671241
Enumeration Date

(more than 10 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
CCCNF - LAKE BUTLER, LLC
Other Name: FL DEPT OF CORRECTIONS - RMC CANCER CENTER
Primary location
7765 S COUNTY ROAD 231
LAKE BUTLER, FL 32054-5721
Phone: (386) 496-0900 Fax: (386) 496-0777
Mailing address
104 WOODMONT BLVD
SUITE 500
NASHVILLE, TN 37205-2245
Phone: (615) 467-7400 Fax: (615) 467-7401
Organization Subpart
No
Authorized Official
STUART BITTING
EVP
Phone: (615) 783-1253
Updated
Identifiers

Identifiers for CCCNF - LAKE BUTLER, LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERRADIOACTIVE MATERIAL LICENSEFLRAM LICENSE 4226-1
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
2085R0001X
- Radiology / Radiation Oncology (Primary)
FL JR45707000

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.