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WESTERN COLORADO RADIATION ONCOLOGY PC NPI 1528026804


NPI Information

NPI: 1528026804
Provider Name: WESTERN COLORADO RADIATION ONCOLOGY, PC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
2352 N. 7TH ST.
STE. B
GRAND JUNCTION, CO
ZIP 81501
Phone: (970) 257-1786
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WESTERN COLORADO RADIATION ONCOLOGY, PC is a specialist in Grand Junction, CO. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. WESTERN COLORADO RADIATION ONCOLOGY, PC NPI is 1528026804. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2352 N. 7TH ST.
STE. B
GRAND JUNCTION, CO
ZIP 81501
Phone: (970) 257-1786
Fax: (970) 257-0035

The provider's authorized official is Mary J Archuleta .
The authorized official title is Billing Manager and has the following contact phone number (970) 257-1786.

The enumeration date for this NPI number is 5/3/2006 and was last updated on 12/31/2009.


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
1174400000XSpecialist007210COLORADOYes

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
1179008OTHERCOLORADOBLUE CROSS - BLUE SHIELD
204017604MEDICAIDCOLORADO
3CG0832OTHERCOLORADORRMCR
4C179008MEDICARE PINCOLORADO
5=========001OTHERCOLORADOROCKY MOUNTAIN HMO

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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