Provider Demographics
NPI:1447275300
Name:RICHMOND RADIATION ONCOLOGY CENTER, INC
Entity type:Organization
Organization Name:RICHMOND RADIATION ONCOLOGY CENTER, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RICKY
Authorized Official - Middle Name:L
Authorized Official - Last Name:SHUMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-281-0215
Mailing Address - Street 1:5711 STAPLES MILL RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23228-5442
Mailing Address - Country:US
Mailing Address - Phone:804-266-7762
Mailing Address - Fax:804-266-7994
Practice Address - Street 1:5711 STAPLES MILL RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23228-5442
Practice Address - Country:US
Practice Address - Phone:804-266-7762
Practice Address - Fax:804-266-7994
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0203XAmbulatory Health Care FacilitiesClinic/CenterOncology, Radiation