1. Home
  2. Directory
  3. Ohio
  4. Celina
  5. Clinic Center
  6. NPI Profile

GRAND LAKE REGIONAL CANCER CENTER
NPI 1053348904
Clinic/Center - Oncology, Radiation in Celina, OH

Active since June 27, 2006
900 HAVEMANN ROAD, CELINA, OH 45822(419) 584-1900 Get Directions Write a Review

NPPES record last updated: May 15, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1053348904
Entity TypeOrganization
Primary Taxonomy261QX0203X
Legal Business NameCANCER NETWORK OF WEST CENTRAL OHIO
Location Address900 HAVEMANN ROADCelina, OH 45822-1870
Mailing Address900 Havemann RoadCelina, OH 45822-1870 · (419) 584-1900
Phone(419) 584-1900
Organization SubpartYesParent: The Cancer Network Of West Central Ohio
Authorized OfficialPaul ClemmentsManaging Executive · (419) 251-2662
Enumeration DateJune 27, 2006
Last NPPES UpdateMay 15, 2019
✔ NPI 1053348904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Oncology, RadiationAmbulatory Health Care Facilities
Taxonomy Code261QX0203X
License✔ Licensed in OH · 1055RT
900 HAVEMANN ROAD, Celina, OH 45822
Open in Google Maps ↗

Other Names 1

Doing Business AsGrand Lake Regional Cancer Center

Other Identifiers 1

Medicaid2429821OH

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.

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.