SOUTHWEST ONCOLOGY PC NPI 1104922350

NPI Information

NPI: 1104922350
Provider Name: SOUTHWEST ONCOLOGY PC
Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
1 MERCADO ST STE 100
DURANGO, CO
ZIP 81301
Phone: (970) 385-7977
Get Directions

SOUTHWEST ONCOLOGY PC is a hematology and oncology internal medicine in Durango, CO. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. SOUTHWEST ONCOLOGY PC NPI is 1104922350. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1 MERCADO ST STE 100
DURANGO, CO
ZIP 81301-300
Phone: (970) 385-7977

The provider's authorized official is Steven E Bush .
The authorized official title is President and has the following contact phone number (970) 385-7977.

The enumeration date for this NPI number is 9/15/2006 and was last updated on 4/20/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RH0003X	Internal Medicine	Hematology & Oncology			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	452278	MEDICARE ID-TYPE UNSPECIFIED	COLORADO	MEDICARE OF COLORADO
2	020277599	OTHER	COLORADO	ENERGY EMPLOYEE OCCUP
3	4344800001	MEDICARE NSC	COLORADO
4	DA5385	MEDICARE ID-TYPE UNSPECIFIED	COLORADO	RAILROAD MEDICARE
5	849888	MEDICAID	ARIZONA
6	=========002	MEDICAID	UTAH
7	SO65319	OTHER	COLORADO	BLUE CROSS BLUE SHIELD
8	205165100	OTHER	COLORADO	DPT OF LABOR WORKCOMP
9	K6916	MEDICAID	NEW MEXICO
10	02721287	MEDICAID	COLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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