OrganizationActive
Indiana University Health Proton Therapy Center, LLC
NPI 1780775163 · Radiation Oncology Clinic/Center · Bloomington, IN
Provider details
- NPI number
- 1780775163
- Entity type
- Organization
- Primary specialty
- Radiation Oncology Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- John Kerstiens, Coo/Cfo(812) 349-5028
- License
- NA
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
2425 Milo B. Sampson Lane
Bloomington, IN 47408-1398
Phone: (812) 349-5074
Fax: (812) 349-5046
Approximate (ZIP-level) locationGet directions
Mailing address
2425 Milo B. Sampson Lane
Bloomington, IN 47408-1398
Other names (DBA / former)
- Former legal business name
- Midwest Proton Radiotherapy Institute, LLC
Registry dates
- Enumerated
- 2006-09-28
- Last updated
- 2012-11-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.