GRAND LAKE REGIONAL CANCER CENTER
NPI 1053348904
Clinic/Center - Oncology, Radiation in Celina, OH
About Grand Lake Regional Cancer Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRAND LAKE REGIONAL CANCER CENTER (NPI 1053348904) is a healthcare organization registered as an oncology, radiation in Celina, Ohio and active in the NPI registry since June 2006. The organization lists Paul Clemments, Managing Executive, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Grand Lake Regional Cancer Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Grand Lake Regional Cancer Center, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (5)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Cancer Network Of West Central Ohio's NPI number?
The NPI number for Cancer Network Of West Central Ohio is 1053348904. It was assigned to this organization in the NPPES registry on June 27, 2006. The provider is doing business as Grand Lake Regional Cancer Center.
Where is Cancer Network Of West Central Ohio located?
Cancer Network Of West Central Ohio is located at 900 Havemann Road, Celina, OH 45822. The listed phone number is (419) 584-1900.
What is Cancer Network Of West Central Ohio's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Oncology, Radiation, with taxonomy code 261QX0203X.
Is Cancer Network Of West Central Ohio enrolled in Medicare?
Yes. Cancer Network Of West Central Ohio is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Cancer Network Of West Central Ohio?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Radiation Oncology, reassign their Medicare billing to Cancer Network Of West Central Ohio. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Cancer Network Of West Central Ohio accept?
Health plans from Anthem Blue Cross and Blue Shield list Cancer Network Of West Central Ohio as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Cancer Network Of West Central Ohio was last updated on May 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Grand Lake Regional Cancer Center · NPI 1053348904
Oncology, Radiation organization in Celina, Ohio. Organization record, active in the CMS NPPES registry since June 27, 2006.
## Identity
- **NPI:** 1053348904 (Entity type: Organization)
- **Enumerated:** June 27, 2006
- **Primary specialty:** Clinic/Center - Oncology, Radiation · taxonomy 261QX0203X
- **Legal business name:** Cancer Network Of West Central Ohio
- **Organization subpart:** Yes (part of The Cancer Network Of West Central Ohio)
- **Authorized official:** Paul Clemments, MANAGING EXECUTIVE
## Practice location
- **Address:** 900 HAVEMANN ROAD, Celina, OH 45822-1870
- **Phone:** (419) 584-1900
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians (Radiation Oncology) reassign Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 15, 2019
- **Other identifiers:** Medicaid 2429821 (OH)
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Source: [NPI Profile](https://npiprofile.com/npi/1053348904) · Data from the CMS NPPES public registry.